NPIMap

Individual provider Active NPI

Sandra J Walters, RPH

  • Pharmacist
  • Hamburg, NY
National Provider Identifier
1063698017
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037033 Issued in NY
Practice address
7182 Boston State Rd
Hamburg, NY 14075-6933
Phone
(716) 648-1610
Fax
(716) 648-3058
NPI assigned
Jan 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037033 NY Primary

Addresses

Primary practice location

7182 Boston State Rd
Hamburg, NY 14075-6933

Mailing address

7182 Boston State Rd
Hamburg, NY 14075-6933
Phone (716) 648-1610

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

State licenses

LicenseStateTypeSpecialty
037033NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past Accepting new patients
CVS Albany LLC Past Accepting new patients

Organizations & group practices 2

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": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200787200000",
    "number": "1063698017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 BOSTON STATE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756933",
            "telephone_number": "716-648-1610",
            "fax_number": "716-648-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 BOSTON STATE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756933",
            "telephone_number": "716-648-1610",
            "fax_number": "716-648-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; 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.