Mackenzie Lauren Walters, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP456189 Issued in PA

Practice address

100 William Marks Drive
Munhall, PA 15120

Phone

(412) 461-4699

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

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

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 04682

  • Community/Retail Pharmacy
  • Munhall, PA
  • NPI 1689763344
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1205599040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 VALLEY VIEW DR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150129614",
            "telephone_number": "724-550-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM MARKS DRIVE",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "15120",
            "telephone_number": "412-461-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MACKENZIE",
        "middle_name": "LAUREN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W. Tragesser, DC
• Dorothy Tragesser, CCC-SLP
• Tri-Boro Transportation LLC
• Colleen Marie Triffanoff, LPC, NCC
• Patrick J Vandyke, LMT
• Kiona Williams, MS, LAPC, NCC
• John G Yakim, RPH
• Dennis Alan Zabelsky, D.M.D.

• Pharmacist in Munhall, PA
• Providers in Munhall, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.