Jordan Dent Walker, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027875 Issued in GA

Practice address

1198 Merchant Way
Statesboro, GA 30458-0883

Phone

(912) 681-3784

Fax

(912) 681-1382

NPI assigned

Feb 5, 2021

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

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 and National Provider Directory roles.

• Walker Home Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Statesboro, GA
  • NPI 1376991075
  NPD (past)
• Walker Pharmacy and Gifts, Inc.

  • Community/Retail Pharmacy
  • Statesboro, GA
  • NPI 1003863523
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1255923710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 MERCHANT WAY",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580883",
            "telephone_number": "912-681-3784",
            "fax_number": "912-681-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 MERCHANT WAY",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580883",
            "telephone_number": "912-681-3784",
            "fax_number": "912-681-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JORDAN",
        "middle_name": "DENT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Home Medical Inc
• Walker Pharmacy and Gifts, Inc.
• Walker Pharmacy and Gifts, Inc.
• Anna Newton Walker, CCC-SLP
• James L Walker, N.P.
• Jorie Walker
• Kelcie Walker, OT
• Miranda Christine Walker, PHARMD
• Roswell Lindsay Walker Jr., RPH
• Michael Shane Wall, D.M.D.

• Pharmacist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.