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Dr. Kelsey Wallace , PharmD

Pharmacist β€’ Camas, WA

Active NPI 1508098914 Individual Practitioner Female Practitioner
Practice location in NPPES

522 Nw 24th Cir
Camas, WA 98607

Call 3609046581 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

522 Nw 24th Cir

Camas, WA 98607

Telephone 3609046581
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tigard, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Camas and Washington

18 active clinicians are listed under Pharmacist with a practice address in Camas, WA (7,786 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Camas

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES WA 00070414

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NUCC Taxonomy Code: 1835P0018X

License # reported to NPPES OR RPH-0011606

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OR RPH-0011606

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

13221 Sw 68th Pkwy Ste 200

Tigard, OR 972238328

Phone: 5032135536

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 20, 2019

Registered at 522 NW 24TH CIR, CAMAS, WA 98607 (Tel: 3609046581)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Pharmacist (license number reported to NPPES: OR RPH-0011606)

βœ…
NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 17, 2016

Registered at 13221 SW 68TH PKWY STE 200, TIGARD, OR 972238328 (Tel: 5032135536)

πŸ“
Business Mailing Address (Initial Record) February 17, 2016

Registered at 2335 NW RALEIGH ST UNIT 421, PORTLAND, OR 972103731

πŸ‘€
Provider Name / Credentials (Initial Record) February 17, 2016

Recorded as KELSEY WALLACE, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Pharmacist (license number reported to NPPES: WA 00070414)

🟒
Initial NPI Registration & Enumeration August 18, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508098914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2009
Last Update: May 20, 2019
Sole Proprietor: Yes

Other Pharmacists in Camas

All Pharmacists in Camas

Mailing Address

2335 Nw Raleigh St Unit 421

Portland, OR 972103731

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.