Laura Wallace

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0202215896 Issued in VA

Practice address

1030 Wilmer Ave Ste 300
Richmond, VA 23227-2403

Phone

(877) 814-3475

NPI assigned

May 8, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Commonwealth University Health System Authority

  dba VCU Health System - Speciality Pharmacy

  • Specialty Pharmacy
  • Richmond, VA
  • NPI 1093238206
  NPD (past)
• Virginia Commonwealth University Health System Authority

  dba VCU Health System Pharmacy

  • Clinic Pharmacy
  • Richmond, VA
  • NPI 1659456077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1003744368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WILMER AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272403",
            "telephone_number": "877-814-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WILMER AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272403",
            "telephone_number": "877-814-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202215896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla A. Wall, PHD LCP
• Ra'Jon Anthony Wall
• Annmarie Wallace-Smith
• Diana Wallace
• Katherine Lee Wallace, LCSW
• Letitia J Wallace, PMHNP-BC
• Matthew Malone Wallace, M.D.
• Morgan Lindsey Wallace
• Nancy V Wallace, NP
• Narquinta Lashay Wallace, LPN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.