Robbie Dean Walters Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

41994 Issued in SC

Practice address

94 Heritage Dr
Clover, SC 29710-9213

Phone

(803) 448-5362

NPI assigned

Feb 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1073269726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 HERITAGE DR",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297109213",
            "telephone_number": "803-448-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 HERITAGE DR",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297109213",
            "telephone_number": "803-448-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ROBBIE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28378",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "41994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.linkedin.com/in/drrobbiedean",
            "affiliation": "N",
            "address_1": "94 Heritage Dr",
            "city": "Clover",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297109213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Paul Van Dyke, OTR/L
• Vanessa N Vargas, DMD
• Christine Vazquez, LPC-A, ATR-BC
• Jennifer Wagner, M.D.
• Walker Physical Therapy & Wellness, LLC
• Tristin Lorraine White, PHD, LCMHCS, LPC
• Alyssa Whittaker, LPCA
• Johnny T Wilkins, RPH
• Caroline Stuart Williams, MA, LPCA
• Beth Cherish Wilson, LPC

• Pharmacist in Clover, SC
• Providers in Clover, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.