Active NPI
Gail Anne Walsh, PHARMD
- Pharmacist
- Corrales, NM
National Provider Identifier
1205481785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00009012
- Practice address
- 4940 Corrales Rd
Corrales, NM 87048-8673 - Phone
- (505) 897-3784
- NPI assigned
- Aug 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00009012 | NM | Primary |
Addresses
Primary practice location
4940 Corrales Rd
Corrales, NM 87048-8673
Mailing address
4940 Corrales Rd Ste 200
Corrales, NM 87048-8673
Phone (505) 867-0733
Other practice location 1
221 New Mexico Highway 165
Unit A4
Placitas, NM 87043
Phone (505) 867-0733
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 |
|---|---|---|---|
| RP00009012 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrales Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic Pharmacy
- Placitas, NM
- NPI 1386276160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1205481785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 CORRALES RD STE 200",
"city": "CORRALES",
"state": "NM",
"postal_code": "870488673",
"telephone_number": "505-867-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 CORRALES RD",
"city": "CORRALES",
"state": "NM",
"postal_code": "870488673",
"telephone_number": "505-897-3784"
}
],
"practiceLocations": [
{
"address_1": "221 New Mexico Highway 165",
"address_2": "Unit A4",
"address_purpose": "LOCATION",
"city": "Placitas",
"state": "NM",
"postal_code": "87043",
"country_code": "US",
"telephone_number": "505-867-0733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "GAIL",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2023-05-18",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.