Active NPI
Walker Pharmacy and Gifts, Inc.
- Community/Retail Pharmacy
- Statesboro, GA
National Provider Identifier
1003863523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roswell Lindsay Walker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1150363 | Other | GA | NCPDP NUMBER |
| 00286899D | Medicaid | GA | |
| PHRE010913 | Other | GA | STATE LICENSE |
Other names 1
- Walker Pharmacy Market District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210401000815 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315143203 | Practice locations: Statesboro, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Statesboro, GA
- NPI 1023020351
-
- Pharmacist
- Brooklet, GA
- NPI 1447707088
-
- Pharmacist
- Brooklet, GA
- NPI 1912451246
-
- Pharmacist
- Statesboro, GA
- NPI 1255923710
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.