Dr Tyson Wallace, PHARM D - Pharmacist in Gosnell, AR

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Dr Tyson Wallace, PHARM D is a Pharmacist based in Gosnell, Arkansas. Dr Tyson Wallace is licensed to practice in Arkansas (license number PD09924) and his current practice location is 134 Bevill Ave, Gosnell, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 751-9242.

NPI number for Dr Tyson Wallace is 1982296877 and his current mailing address is 134 Bevill Ave, Gosnell, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982296877.

Contact Information

Dr Tyson Wallace, PHARM D
134 Bevill Ave,
Gosnell, AR 72315
(870) 751-9242
(870) 751-9291

Map and Direction


Healthcare Provider's Profile

Full NameDr Tyson Wallace
GenderMale
SpecialityPharmacist
Location134 Bevill Ave, Gosnell, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982296877
  • Provider Enumeration Date: 02/11/2021
  • Last Update Date: 04/22/2025

Medical Identifiers

Medical identifiers for Dr Tyson Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982296877NPI-NPPES
289547795MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 2007005629 (Missouri)Secondary
183500000XPharmacist PD09924 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyson Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tyson Wallace, PHARM D
134 Bevill Ave,
Gosnell, AR 72315

Ph: (870) 751-9242		Dr Tyson Wallace, PHARM D
134 Bevill Ave,
Gosnell, AR 72315

Ph: (870) 751-9242

Reviews and Comments


Pharmacist in Gosnell, AR

Natalie Crockett,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 134 Bevill St, Gosnell, AR 72315
Phone: 870-751-9242    
Dr. Brandon Glenn Michael, PHARM.D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 134 Bevill Avenue, Gosnell, AR 72315
Phone: 870-751-9242    Fax: 870-751-9291

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.