Walter'S Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALTER'S PHARMACY INC.

Practice address

2700 International Blvd
Suite 32
Oakland, CA 94601-1520

Phone

(510) 533-2700

Fax

(415) 242-1492

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Walter Harcourt Mullen, PHARMD

Title

Ceo

Phone

(510) 533-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1104159607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD",
            "address_2": "SUITE 32",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-533-2700",
            "fax_number": "415-242-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD",
            "address_2": "SUITE 32",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-533-2700",
            "fax_number": "415-242-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "HARCOURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-533-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Kelly Walter, PA-C
• Debra Lynn Walter, RNC, NP
• John Martin Walter, LCSW
• Lenora Walter
• Patrick Joseph Walter, D.C., M.S.
• Joshua Walters
• Mark Walters, MO
• Marshall Banker Walters
• Alexandra Christine Walton, MD
• Clarisha H Walton

• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.