Active NPI
Danny L Walls, PHARMACIST
- Pharmacist
- Smithfield, VA
National Provider Identifier
1063404853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004173
- Practice address
- 221 Main St
Smithfield, VA 23430-1324 - Phone
- (757) 357-4361
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202004173 | VA | Primary |
Addresses
Primary practice location
221 Main St
Smithfield, VA 23430-1324
Mailing address
221 Main St
PO Box 384
Smithfield, VA 23431-0384
Phone (757) 357-4361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202004173 | Other | VA | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004173 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smithfield Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Smithfield, VA
- NPI 1649200312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1063404853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAIN ST",
"address_2": "PO BOX 384",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234310384",
"telephone_number": "757-357-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAIN ST",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301324",
"telephone_number": "757-357-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "DANNY",
"middle_name": "L",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "0202004173",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.