Carol Henshaw Wallace, PHARMACIST
NPI 1104107838ActiveIndividual· Pharmacist· Winchester, TN
Pharmacist (PHARMACIST) in Winchester, Tennessee, licensed in TN, with an NPI issued in September 2011.
Overview
| NPI | 1104107838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMACIST |
| Sole proprietor | Yes |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 0000008424 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8424 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 18 pharmacists in Winchester · All pharmacists in Tennessee