Marta Walters, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

006247 Issued in PR

Practice address

Avenida Fragoso & 65 Infanteria
Plaza Carolina
Carolina, PR 00983

Phone

(787) 705-6622

NPI assigned

Jan 9, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205343415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILMOT RD # 2002",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154620",
            "telephone_number": "787-769-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA FRAGOSO & 65 INFANTERIA",
            "address_2": "PLAZA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-705-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 San Ramon Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945264013",
            "country_code": "US",
            "telephone_number": "787-769-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARTA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006247",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PR",
            "license": "006247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #156)
• Walgreen Co (Walgreens #09403)
• Walgreen Co. (Walgreens #12659)
• Walgreen Co. (Walgreens #12662)
• Walgreen Co. (Walgreens #13767)
• Wilfredo Reyes Labrador (Laboratorio Clinico Wilmar)
• Jay Wittgreen-Negron, D.C.
• WRR Elite Medical Group CSP
• Xtreme Medical Care Corp
• Aiman Yacoub

• Pharmacist in Carolina, PR
• Providers in Carolina, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.