Active NPI
Serena Lisa Walker, PHARM D
- Pharmacist
- Eureka, MO
National Provider Identifier
1063998581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044861
- Practice address
- 245 E 5TH St
Eureka, MO 63025-1223 - Phone
- (636) 938-4976
- NPI assigned
- Jul 17, 2018
- Last updated
- Jul 17, 2018
- 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 | 044861 | MO | Primary |
Addresses
Primary practice location
245 E 5TH St
Eureka, MO 63025-1223
Mailing address
833 Ashton Way Cir
Eureka, MO 63025-4012
Phone (314) 570-8875
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 |
|---|---|---|---|
| 044861 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1063998581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 ASHTON WAY CIR",
"city": "EUREKA",
"state": "MO",
"postal_code": "630254012",
"telephone_number": "314-570-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E 5TH ST",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251223",
"telephone_number": "636-938-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SERENA",
"middle_name": "LISA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.