Individual provider Active NPI

Robin Neal Walters, DOCTOR OF PHARMACY

  • Pharmacist
  • Carrollton, TX
National Provider Identifier
1063015535
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57620 Issued in TX
Practice address
1025 W Trinity Mills Rd
Carrollton, TX 75006-1375
Phone
(800) 508-0960
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57620 TX Primary

Addresses

Primary practice location

1025 W Trinity Mills Rd
Carrollton, TX 75006-1375

Mailing address

1025 W Trinity Mills Rd
Carrollton, TX 75006-1375
Phone (800) 508-0960

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

State licenses

LicenseStateTypeSpecialty
57620TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1063015535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061375",
            "telephone_number": "800-508-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061375",
            "telephone_number": "800-508-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ROBIN",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.