Erin Wallace, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

03125960-1 Issued in OH

Practice address

269 Dillon Ridge Rd
Dillon, CO 80435-8801

Phone

(970) 468-0287

Fax

(937) 431-8672

NPI assigned

Feb 9, 2012

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #11326

  • Community/Retail Pharmacy
  • Dillon, CO
  • NPI 1407094519
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1730451543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804351583",
            "telephone_number": "970-468-0287",
            "fax_number": "970-468-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 DILLON RIDGE RD",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804358801",
            "telephone_number": "970-468-0287",
            "fax_number": "937-431-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ERIN",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03125960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vail Summit Physical Therapy LLC (Avalanche Physical Therapy)
• Wills Vanray, OD
• VVMC Diversified Services (Vail Health Clinics Dillon)
• Ivo F Waerlop, DC
• Walgreen Co (Walgreens #11326)
• Christena Ward, OD
• Mary Wilcox
• Wild Nature Wellness LLC
• Wild Nature Wellness LLC
• Grace Wiseman

• Pharmacist in Dillon, CO
• Providers in Dillon, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.