NPIMap

Organization Active NPI

Walnut Associates I LLC

  • Long Term Care Pharmacy
  • Trenton, MI
National Provider Identifier
1164093878
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WALNUT ASSOCIATES I LLC
Practice address
3390 West Rd
Trenton, MI 48183-2323
Phone
(734) 676-6622
Fax
(734) 676-4166
NPI assigned
Jul 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Authorized official

Name
William Newman
Title
Ceo
Phone
(248) 354-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3390 West Rd
Trenton, MI 48183-2323

Mailing address

3390 West Rd
Trenton, MI 48183-2323
Phone (734) 676-6622

Other identifiers 2

IdentifierTypeStateIssuer
2308054MedicaidMI
2308054OtherNCPDP

Other names 1

  • West Grange Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walnut Associates I LLC3390 West Rd, Trenton, MI 48183-2323(734) 676-6622 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

3390 West Rd
Trenton, MI 48183
Phone (734) 676-6622

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1164093878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832323",
            "telephone_number": "734-676-6622",
            "fax_number": "734-676-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832323",
            "telephone_number": "734-676-6622",
            "fax_number": "734-676-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT ASSOCIATES I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-354-0282"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2308054",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2308054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Grange Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.