Active NPI
Walkertown Family Pharmacy
- Long Term Care Pharmacy
- Walkertown, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WALKERTOWN FAMILY PHARMACY
- Practice address
- 2905 Darrow Rd
Walkertown, NC 27051-9682 - Phone
- (336) 754-8443
- Fax
- (336) 595-7079
- NPI assigned
- Jun 28, 2023
- Last updated
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Dale Keith Jr., RPH
- Title
- Owner
- Phone
- (336) 703-7580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2905 Darrow Rd
Walkertown, NC 27051-9682
Mailing address
2905 Darrow Rd
Walkertown, NC 27051-9682
Phone (336) 754-8443
National Provider Directory
National Provider Directory- Tax ID family
- Walkertown Family Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Walkertown, NC
- NPI 1063557494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kernersville, NC
- NPI 1679807481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1144907585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 DARROW RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519682",
"telephone_number": "336-754-8443",
"fax_number": "336-595-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 DARROW RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519682",
"telephone_number": "336-754-8443",
"fax_number": "336-595-7079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKERTOWN FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "KEITH",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-703-7580",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walkertown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.