Active NPI
Danielle Wallace, PHARMD
- Pharmacist
- Denver, NC
National Provider Identifier
1972256568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43462
- Practice address
- 7944 Golf Course Dr N
Denver, NC 28037-9172 - Phone
- (800) 871-2851
- Fax
- (888) 808-6014
- NPI assigned
- Feb 2, 2022
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.026067 | LA | |
| Pharmacist | 183500000X | RP0014954 | WV | |
| Pharmacist | 183500000X | 21992 | AL | |
| Pharmacist | 183500000X | T-102132 | MS | |
| Pharmacist | 183500000X | 44923 | TN | |
| Pharmacist | 183500000X | RPH027028 | GA | |
| Pharmacist | 183500000X | 31730 | NC | |
| Pharmacist | 183500000X | PS47604 | FL | |
| Pharmacist | 183500000X | 43462 | SC | Primary |
Addresses
Primary practice location
7944 Golf Course Dr N
Denver, NC 28037-9172
Mailing address
4550 Montgomery Ave Ste 1050N
Bethesda, MD 20814-3304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21992 | AL | MD | Pharmacist |
| PS47604 | FL | MD | Pharmacist |
| RPH027028 | GA | MD | Pharmacist |
| PST.026067 | LA | MD | Pharmacist |
| T-102132 | MS | MD | Pharmacist |
| 31730 | NC | MD | Pharmacist |
| 43462 | SC | MD | Pharmacist |
| RP0014954 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1972256568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MONTGOMERY AVE STE 1050N",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7944 GOLF COURSE DR N",
"city": "DENVER",
"state": "NC",
"postal_code": "280379172",
"telephone_number": "800-871-2851",
"fax_number": "888-808-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.026067",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0014954",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21992",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-102132",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44923",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027028",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31730",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47604",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.