KEITH ALAN WALLACE (BS PHARM) – Pharmacist, NPI 1750408795

Pharmacist

KEITH ALAN WALLACE (BS PHARM) is a healthcare provider. based in Saint peters, Missouri. specializing in Pharmacist. They hold the professional credentials BS PHARM. They hold a License No. 2001019315 (MO). The NPI Number for KEITH ALAN WALLACE (BS PHARM) is 1750408795

Main info

Male

Name

KEITH ALAN WALLACE (BS PHARM)

NPI

1750408795

Phone

(636) 240-0665

Address

5 WOODLAND RIDGE CT

Enumeration Date

23 March 2007

Last Update Date

14 January 2011

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KEITH ALAN WALLACE (BS PHARM)

5 WOODLAND RIDGE CT
SAINT PETERS, MO 633761788
Phone: (636) 240-0665
Type: Mailing
11643 LILBURN PARK RD
SAINT LOUIS, MO 631463535
Phone: (314) 995-6843
Fax: (888) 916-0877
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63376)

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Reviews

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Frequently asked questions

What is the standard ID for KEITH ALAN WALLACE (BS PHARM) in the U.S.?

In the U.S., KEITH ALAN WALLACE (BS PHARM) is identified by NPI 1750408795.

Does the public listing show KEITH ALAN WALLACE (BS PHARM) as active?

KEITH ALAN WALLACE (BS PHARM)'s NPI record reflects an active status in NPPES.

What does the directory say KEITH ALAN WALLACE (BS PHARM) does?

Insurance directories may phrase it differently, but here KEITH ALAN WALLACE (BS PHARM) maps to Pharmacist. Clinical services aligned with this taxonomy classification.

Is KEITH ALAN WALLACE (BS PHARM) tied to Saint Peters, Missouri?

If you are local to Saint Peters, Missouri, KEITH ALAN WALLACE (BS PHARM) may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.