Paul Anthony Walicke, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

013884 Issued in KY

Practice address

851 Ireland Ave
Ireland Army Community Hospital
Fort Knox, KY 40121-2722

Phone

(502) 624-9777

NPI assigned

Sep 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1184874711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PALOMINO LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035458",
            "telephone_number": "859-523-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 IRELAND AVE",
            "address_2": "IRELAND ARMY COMMUNITY HOSPITAL",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401212722",
            "telephone_number": "502-624-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALICKE",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Wayne Trotta, M.D.
• Adrienne Trudell
• Birgit Sandra Valdez, PH.D.
• Mark Allen Vance, DMD
• Michael Robert Villacarlos, DDS
• Katrina Eaker Walters, MD
• Elizabeth D Waters, PHD
• Endraetta Watts, M.D.
• Cheryl K Welch, LCSW
• William Jerome Welch, MD

• Pharmacist in Fort Knox, KY
• Providers in Fort Knox, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.