Active NPI
Earl S Walden, RPH
- Pharmacist
- Schererville, IN
National Provider Identifier
1083995096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019628A
- Practice address
- 651 W US Highway 30
Schererville, IN 46375-1649 - Phone
- (219) 865-2245
- Fax
- (219) 865-8626
- NPI assigned
- Sep 3, 2011
- Last updated
- Sep 3, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019628A | IN | Primary |
| Pharmacist | 183500000X | 051-286896 | IL |
Addresses
Primary practice location
651 W US Highway 30
Schererville, IN 46375-1649
Mailing address
651 W US Highway 30
Schererville, IN 46375-1649
Phone (219) 865-2245
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051-286896 | IL | MD | Pharmacist |
| 26019628A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1083995096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 W US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751649",
"telephone_number": "219-865-2245",
"fax_number": "219-865-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 W US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751649",
"telephone_number": "219-865-2245",
"fax_number": "219-865-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "EARL",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-03",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019628A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-286896",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
- Vision One PC
- Viva Chiropractic & Wellness LLC
- Voyage LLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1576)
- Wal-Mart Stores East, LP (Vision Center 30-1576)
- Walgreen Co (Walgreens #4486)
- Walgreen Co (Walgreens #5787)
- Walgreen Co (Walgreens #06000)
- Leo K Wang, MD
- Ayanna Denise Washington, AGNP-C, AGPCNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.