Wallene Z Bullard, PHARMD, BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PH100000175 Issued in DC

Practice address

750 1St St NE
Washington, DC 20002-4241

Phone

(202) 427-3010

Fax

(202) 563-3909

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Medication Information Means Empowerment, LLC

  • Pharmacotherapy Pharmacist
  • Randallstown, MD
  • NPI 1760603864
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267315200000",
    "number": "1629076385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211330953",
            "telephone_number": "202-427-3010",
            "fax_number": "202-563-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 1ST ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024241",
            "telephone_number": "202-427-3010",
            "fax_number": "202-563-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "WALLENE",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "16065",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NV",
            "license": "12574",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "47645",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "DC",
            "license": "PH100000175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Bulkley, M.S.W.,J.D.
• Desmond Bull
• Jonca Camille Bull, M.D.
• Victoria Bull
• Patricia Bullard-Bates, PHD
• Ricardo Antonio Bullen, MD
• Christiana Buller-Jarrett
• Houple Bullings
• Cynthia E Bullis-Vasco, NP
• Breanna Bullock

• Pharmacotherapy Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacotherapy Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; 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.