J Wallace Llc
Community/Retail Pharmacy
302a Barnes Rd, Williamstown
Kentucky, 41097-9483
859-824-4239 859-824-2110
J Wallace Llc is an authorized DME supplier for medicare equipments and products.
J Wallace Llc is a Community/Retail Pharmacy in Williamstown, Kentucky. It is located at 302a Barnes Rd, Williamstown and it's customer support contact number is 859-824-4239. The authorized person of J Wallace Llc is Jason Wallace, PHARMD, RPH who is Owner of the pharmacy and his contact number is 859-824-4239. Active license number of J Wallace Llc is PO6979 for Community/Retail Pharmacy in Kentucky. J Wallace Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
J Wallace Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
J Wallace Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | J Wallace Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 302a Barnes Rd, Williamstown, Kentucky, 41097-9483 |
| Phone: | 859-824-4239 |
| Fax: | 859-824-2110 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jason Wallace |
| Credentials: | PHARMD, RPH |
| Position: | Owner |
| Contact Number: | 859-824-4239 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1184728149 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 02 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for J Wallace Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PO6979 | Kentucky | Primary | |
| Customized Equipment | P06979 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 54009139 | Medicaid | Kentucky | |
| 90011560 | Medicaid | Kentucky | |
| 2029150 | Other | | Pk |
Medicare Enrollment:
J Wallace Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3779794656 | O20100930017068 | J Wallace Llc | DME SUPPLIER - PHARMACY |
| 3779794656 | O20161109002549 | J Wallace Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
J Wallace Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Nebulizer Equipment & Supplies | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Oxygen Equipment & Supplies |
| • Patient Lifts | • Pneumatic Compression Devices |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 302 Barnes Rd, Williamstown, Kentucky |
| Zip: | 41097-9483 |
| Phone Number: | 859-824-4239 |
| Fax Number: | 859-824-2110 |
Patients can reach J Wallace Llc at
302a Barnes Rd, Williamstown, Kentucky or can
call on customer care at 859-824-4239.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.