John Walker, ASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12833 Issued in NY

Practice address

155 Indian Head Rd
Commack, NY 11725-2212

Phone

(631) 543-6200

NPI assigned

Mar 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E BEECH ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223140",
            "telephone_number": "631-543-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252212",
            "telephone_number": "631-543-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "credential": "ASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Wagner, PHARM D
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5202)
• Wal-Mart Stores East, LP (Vision Center 30-5202)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #09865)
• Joanne L Walsh, MS ED
• Stephanie Ann Warnken, LMSW
• Marybeth Warren
• Jessica Tanya Washington
• Kimberly H Waterbury, L.P.N.

• Addiction (Substance Use Disorder) Counselor in Commack, NY
• Providers in Commack, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.