Mark Wayne Walters, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

113186-8 Issued in MN

Practice address

306 Chestnut St
Virginia, MN 55792-2524

Phone

(218) 749-6333

Fax

(218) 749-2731

NPI assigned

Aug 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Drug Enterprises Inc

  dba Thrifty White Pharmacy #038

  • Community/Retail Pharmacy
  • Virginia, MN
  • NPI 1235229162
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023018025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 TOWN LINE RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468149",
            "telephone_number": "218-263-3553",
            "fax_number": "218-263-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CHESTNUT ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922524",
            "telephone_number": "218-749-6333",
            "fax_number": "218-749-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "113186-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Vue
• Margaret Waechter
• Amber S Walburn
• Walgreen Co (Walgreens #10501)
• Caryn M. Walters, MS, LPCC
• Sydney Watland
• Erik Michael Watson, CRNA
• Ryan Scott Watson, M.D.
• Melanie Weber
• Enrico Thomas Welsch, MSW

• Pharmacist in Virginia, MN
• Providers in Virginia, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.