Active NPI
Walter Putnam, PHARM D
- Pharmacist
- Tucson, AZ
National Provider Identifier
1164879482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021981
- Practice address
- 1021 E Palmdale St Ste 150-P
Tucson, AZ 85714-1857 - Phone
- (520) 399-8279
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S021981 | AZ | Primary |
Addresses
Primary practice location
1021 E Palmdale St Ste 150-P
Tucson, AZ 85714-1857
Mailing address
1460 N Dorado Blvd
Tucson, AZ 85715-4708
Phone (520) 390-3944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S021981 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Current | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients |
Locations
1021 E Palmdale St
Ste 150P
Tucson, AZ 85714
Phone (520) 399-8279
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Tucson, AZ
- NPI 1760023097
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1164879482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 N DORADO BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857154708",
"telephone_number": "520-390-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 E PALMDALE ST STE 150-P",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857141857",
"telephone_number": "520-399-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "WALTER",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.