Individual provider Active NPI

Wendy C Walker, CPT

  • Pharmacy Technician
  • West Lafayette, IN
National Provider Identifier
1174848592
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
67006378A Issued in IN
Practice address
3851 N River Rd
Indiana Veterans' Home Pharmacy
West Lafayette, IN 47906-3762
Phone
(765) 497-8642
Fax
(765) 497-8593
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 67006378A IN Primary

Addresses

Primary practice location

3851 N River Rd
Indiana Veterans' Home Pharmacy
West Lafayette, IN 47906-3762

Mailing address

PO Box 2160
Clinical Resource Specialists, Inc
West Lafayette, IN 47996-2160
Phone (765) 427-6164

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

State licenses

LicenseStateTypeSpecialty
67006378AINMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1174848592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2160",
            "address_2": "CLINICAL RESOURCE SPECIALISTS, INC",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479962160",
            "telephone_number": "765-427-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 N RIVER RD",
            "address_2": "INDIANA VETERANS' HOME PHARMACY",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063762",
            "telephone_number": "765-497-8642",
            "fax_number": "765-497-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WENDY",
        "middle_name": "C",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IN",
            "license": "67006378A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.