NPPES file of Aug 9, 2026

Cory Wallace, PHARMD

Pharmacist · Broken Arrow, OK

Cory Wallace, PHARMD is a pharmacist with a practice address in Broken Arrow, Oklahoma, and NPI 1972103745, issued on Oct 29, 2020. Check the license (Oklahoma 14955, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972103745
Name
Cory Wallace
Credential
PHARMD
Primary taxonomy
Pharmacist 183500000X
License number
14955 OK
Self-reported in NPPES; status is on the state search
Practice location
2301 W Kenosha St, Broken Arrow, OK 74012
Phone
(918) 259-9136
Enumerated
Oct 29, 2020
Record last updated
Oct 29, 2020 (not updated in 6 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 2301 W Kenosha St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sabrina Dunaway, PHARMDPharmacist1033881693
  2. Ashley McMahon, DPHPharmacist1942820386
  3. Sandra Souvannachak, PHARMDPharmacist1952902447
  4. Megan ThulinPharmacist1730765991

Verify Cory Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
    Search for license 14955
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oklahoma license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Cory Wallace among 3,344 pharmacist records in Oklahoma

Cory Wallace, PHARMD is one of 3,344 pharmacist records with a practice address in Oklahoma. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 62% of them.

  • NPI issued2020 · 62% of these records are older, 21% newer
  • In a Medicare fileNo · 5% of these records are
  • In the CMS Doctors and Clinicians fileNo · 0% of these records are
  • Record last updated2020 · 77% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 183500000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

109 pharmacist records list a practice address in Broken Arrow

They are 109 of the 1,748 NPPES records with a practice address in Broken Arrow, and 3,344 pharmacist records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 pharmacist records with the nearest ZIP codes

  1. Rebecca Barrett, PHARM DBroken Arrow, OK 740121205110384
  2. Andrew Becker, D.PHBroken Arrow, OK 740121467545095
  3. Stephen Do, PHARMDBroken Arrow, OK 740121134403348
  4. Virginia Hoopes, PHARMDBroken Arrow, OK 740121104913672
  5. John Lee, PHARM.D.Broken Arrow, OK 740121851672877
  6. Katherine MazzaBroken Arrow, OK 740121104106707
  7. Dawn Nelson, PHARM.D.Broken Arrow, OK 740121891076824
  8. Todd Pendergraft, D.PH.Broken Arrow, OK 740121881618924

Common questions

What is Cory Wallace, PHARMD's NPI number?

Cory Wallace, PHARMD's National Provider Identifier (NPI) is 1972103745, issued on Oct 29, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Cory Wallace, PHARMD located?

The NPPES record lists a practice address at 2301 W Kenosha St, Broken Arrow, OK, 74012. Phone: (918) 259-9136. Providers update this record themselves, so call before visiting.

How can I verify Cory Wallace, PHARMD's license?

NPPES lists Oklahoma license number 14955, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.