Nicole Walker, PHARM.D.
Individual provider Active NPI Pharmacist · Granby, CO
NPI 1134563380 · NPPES record last updated Apr 18, 2013
Key facts
- NPI
- 1134563380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16290 (CO)
- Practice address
- 1001 Thompson Road
Granby, CO 80446 - Phone
- (970) 887-7150
- Fax
- (970) 887-7151
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16290 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16290 | CO | Yes |
Addresses
Primary practice location
1001 Thompson Road
Granby, CO 80446
Mailing address
1001 Thompson Road
Granby, CO 80446
Phone (970) 887-7150
Other providers in Granby, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.