Carol H Wallace

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000001203 Issued in TN

Legal business name

CAROL H WALLACE

Doing business as

Bennett's Pharmacy

Practice address

1201 Dinah Shore Boulevard
Winchester, TN 37398

Phone

(931) 967-2777

Fax

(931) 967-1264

NPI assigned

Nov 3, 2006

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Wallace, PHARM.DNPI 1104107838

Title

Pic Owner

Phone

(931) 967-2777

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BENNETT'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Henshaw Wallace, PHARMACIST

  • Pharmacist
  • Winchester, TN
  • NPI 1104107838

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official
• Jasmine Jara Arellano, PHARMD

  • Pharmacist
  • Winchester, TN
  • NPI 1972271914
  NPD (past)
• Kyle Ashby, PHARM.D.T

  • Pharmacist
  • Winchester, TN
  • NPI 1114481843
  NPD (past)
• Cynthia Kennedy McDonald, D.PH.

  • Pharmacist
  • Winchester, TN
  • NPI 1184055899
  NPD (past)
• Ann C Richardson, DPH

  • Pharmacist
  • Winchester, TN
  • NPI 1902239759
  NPD (past)
• Yalda Alina Sayed

  • Pharmacist
  • Winchester, TN
  • NPI 1780354100
  NPD (past)
• Ginny Stluka, PHARM.D.

  • Pharmacist
  • Winchester, TN
  • NPI 1437010725
  NPD (past)
• David Williams

  • Pharmacist
  • Winchester, TN
  • NPI 1932658663
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1962581702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "1201 DINAH SHORE BOULEVARD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "931-967-2777",
            "fax_number": "931-967-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DINAH SHORE BOULEVARD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "931-967-2777",
            "fax_number": "931-967-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL H WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PIC OWNER",
        "authorized_official_telephone_number": "931-967-2777",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001203",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534061",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENNETT'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Myers MD PC
• Michelle Katherine Bull, MSN, APRN, FNP-C
• Albert V Bystritski, MD
• Charlene A Campbell, PHARMD
• Caresouth HHA Holdings of Winchester LLC (Enhabit Home Health)
• Kimberly Cates
• Jolynne Chapman Chapman, MAMFC
• Charles D Ganime DPM
• Kou Wei Chiu, MD
• Laurie Choate-Kelley, PTA

• Community/Retail Pharmacy in Winchester, TN
• Providers in Winchester, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.