Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

R Scott Wallace, RPH

Individual provider Ambulatory Care Pharmacist · NPI 1245834175

R Scott Wallace, RPH is an Ambulatory Care Pharmacist in Beverly, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

19 Dodge St
Beverly, MA 01915-1705
Phone: (978) 927-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH22516 (MA)
Ambulatory Care Pharmacist Taxonomy 1835P2201X · Licence PH22516 (MA)

Record details

NPI number1245834175
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedNovember 22, 2020
Last updated in NPPESNovember 22, 2020
Certification dateNovember 22, 2020
Mailing address19 Dodge St, Beverly, MA 01915-1705

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