Active NPI
Sarah Lydia Wallace, PHT
- Pharmacy Technician
- West Columbia, SC
National Provider Identifier
1942111059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 58493
- Practice address
- 185 Lott CT
West Columbia, SC 29169-3051 - Phone
- (803) 719-4050
- Fax
- (803) 719-4054
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 58493 | SC | Primary |
Addresses
Primary practice location
185 Lott CT
West Columbia, SC 29169-3051
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other names 1
- Sadie Wallace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1942111059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 LOTT CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693051",
"telephone_number": "803-719-4050",
"fax_number": "803-719-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "SARAH",
"middle_name": "LYDIA",
"credential": "PHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "58493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SADIE",
"last_name": "WALLACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.