Active NPI
Walkertown Family Pharmacy Inc
- Community/Retail Pharmacy
- Walkertown, NC
National Provider Identifier
1215979034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 09217
- Legal business name
- WALKERTOWN FAMILY PHARMACY INC
- Doing business as
- Walkertown Family Pharmacy Inc
- Practice address
- 2905 Darrow Rd
Walkertown, NC 27051-9682 - Phone
- (336) 595-6979
- Fax
- (336) 595-7079
- NPI assigned
- Jun 13, 2006
- Last updated
- May 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale Keith, D
- Title
- President
- Phone
- (336) 595-6979
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 09217 | NC | Primary |
Addresses
Primary practice location
2905 Darrow Rd
Walkertown, NC 27051-9682
Mailing address
2905 Darrow Rd
Walkertown, NC 27051-9682
Phone (336) 595-6979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0347307 | Medicaid | NC | |
| 2065498 | Other | PK |
Other names 1
- WALKERTOWN FAMILY PHARMACY INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1215979034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 DARROW RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519682",
"telephone_number": "336-595-6979",
"fax_number": "336-595-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 DARROW RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519682",
"telephone_number": "336-595-6979",
"fax_number": "336-595-7079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKERTOWN FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "KEITH",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-595-6979",
"authorized_official_credential": "D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "09217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0347307",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2065498",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALKERTOWN FAMILY PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Walkertown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.