Organization Active NPI

Walker Pharmacy and Gifts, Inc.

  • Community/Retail Pharmacy
  • Statesboro, GA
National Provider Identifier
1003863523
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8665 Issued in GA
Legal business name
WALKER PHARMACY AND GIFTS, INC.
Doing business as
Walker Pharmacy Market District
Practice address
1198 Merchants Way
Statesboro, GA 30458
Phone
(912) 681-3784
Fax
(912) 681-1382
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roswell Lindsay WalkerNPI 1023020351
Title
Vice President
Phone
(912) 764-6175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8665 GA Primary

Addresses

Primary practice location

1198 Merchants Way
Statesboro, GA 30458

Mailing address

PO Box 2087
Statesboro, GA 30459-2087
Phone (912) 681-3784

Other identifiers 3

IdentifierTypeStateIssuer
1150363OtherGANCPDP NUMBER
00286899DMedicaidGA
PHRE010913OtherGASTATE LICENSE

Other names 1

  • Walker Pharmacy Market District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000815 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7315143203 Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

1198 Merchant Way
Statesboro, GA 30458
Phone (912) 681-3784

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003863523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592087",
            "telephone_number": "912-681-3784",
            "fax_number": "912-681-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 MERCHANTS WAY",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-681-3784",
            "fax_number": "912-681-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER PHARMACY AND GIFTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROSWELL",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "912-764-6175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "8665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1150363",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286899D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHRE010913",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Pharmacy Market District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.