Rebecca Miller Wall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHAP2305 Issued in AK

Practice address

13316 Alex Cir
Eagle River, AK 99577-6714

Phone

(906) 281-0148

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By 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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1255870028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13316 ALEX CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995776714",
            "telephone_number": "906-281-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 ALEX CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995776714",
            "telephone_number": "906-281-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "REBECCA",
        "middle_name": "MILLER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP2305",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc. (Vision Center 30-2188)
• Walgreen Co (Walgreens #15362)
• Dennis C Walker
• Terrell Walker
• Gina Thara Wall, LPC
• Joel Richard Wallace, D.D.S.
• Walmart Inc. (Walmart Pharmacy 10-2188)
• Shelly Waltrip
• Jennifer Ann Watson, M.S. CCC-SLP
• Whitney L Watson

• Pharmacist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.