NPIMap

Organization Active NPI

Walker Drug Company, Inc

  • Pharmacist
  • Moab, UT
National Provider Identifier
1013071265
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118802-1703 Issued in UT
Legal business name
WALKER DRUG COMPANY, INC
Practice address
290 S Main St
Moab, UT 84532-2509
Phone
(435) 259-5959
Fax
(435) 259-0174
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Benjamin Q Harrison, RPH
Title
Pharmacy Manager
Phone
(435) 259-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 118802-1703 UT Primary

Addresses

Primary practice location

290 S Main St
Moab, UT 84532-2509

Mailing address

290 S Main St
Moab, UT 84532-2509
Phone (435) 259-5959

Other identifiers 1

IdentifierTypeStateIssuer
4601743OtherUTNABP - NCPDP

Other names 1

  • WALKER DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walker Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

290 S Main St
Moab, UT 84532
Phone (435) 259-5959

Practitioners & affiliated clinicians

Practitioners 3

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1013071265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322509",
            "telephone_number": "435-259-5959",
            "fax_number": "435-259-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322509",
            "telephone_number": "435-259-5959",
            "fax_number": "435-259-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "435-259-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "118802-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP - NCPDP",
            "identifier": "4601743",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALKER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.