Active NPI
Mary D Walker, PHARMD
- Pharmacist
- Williamsville, NY
National Provider Identifier
1063531127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20 045885
- Practice address
- 5305 Main St
Williamsville, NY 14221-5329 - Phone
- (716) 631-2701
- Fax
- (716) 631-2707
- NPI assigned
- Mar 28, 2007
- Last updated
- Feb 22, 2015
- Sex
- Female
- 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 | 20 045885 | NY | Primary |
Addresses
Primary practice location
5305 Main St
Williamsville, NY 14221-5329
Mailing address
5305 Main St
Williamsville, NY 14221-5329
Phone (716) 631-2701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045885 | Other | NY | PHARMACIST |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20 045885 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424563200000",
"number": "1063531127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215329",
"telephone_number": "716-631-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215329",
"telephone_number": "716-631-2701",
"fax_number": "716-631-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2015-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20 045885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "045885",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.