Active NPI
Amy Waller, PHARMD
- Pharmacist
- Mobile, AL
National Provider Identifier
1184432957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15857
- Practice address
- 1700 Center St
Mobile, AL 36604-3301 - Phone
- (251) 415-1630
- NPI assigned
- Dec 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pharmacist | 1835P0200X | 15857 | AL | |
| Pharmacist | 183500000X | 15857 | AL | Primary |
Addresses
Primary practice location
1700 Center St
Mobile, AL 36604-3301
Mailing address
6367 Oakleigh Way
Mobile, AL 36693-3442
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 |
|---|---|---|---|
| 15857 | AL | MD | Pediatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1184432957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6367 OAKLEIGH WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CENTER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043301",
"telephone_number": "251-415-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "AMY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-24",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pediatrics",
"state": "AL",
"license": "15857",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.