Individual provider Active NPI

Roswell Lindsay Walker Jr., RPH

  • Pharmacist
  • Statesboro, GA
National Provider Identifier
1023020351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13897 Issued in GA
Practice address
202 Northside Dr W
Statesboro, GA 30458-5300
Phone
(912) 764-6175
Fax
(912) 489-4649
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13897 GA Primary

Addresses

Primary practice location

202 Northside Dr W
Statesboro, GA 30458-5300

Mailing address

103 Lancaster PT
Statesboro, GA 30458-9049
Phone (912) 489-4073

Other identifiers 1

IdentifierTypeStateIssuer
13897OtherGASTATE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Pharmacy and Gifts, Inc. Past Accepting new patients
Walker Pharmacy and Gifts, Inc. Past Accepting new patients
Walker Home Medical Inc Past Accepting new patients
Walker Home Medical Inc Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023020351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANCASTER PT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589049",
            "telephone_number": "912-489-4073",
            "fax_number": "912-489-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NORTHSIDE DR W",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585300",
            "telephone_number": "912-764-6175",
            "fax_number": "912-489-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROSWELL",
        "middle_name": "LINDSAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "13897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NUMBER",
            "identifier": "13897",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.