Walnut Hill Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481833 Issued in PA

Legal business name

WALNUT HILL PHARMACY LLC

Doing business as

Walnut Hill Pharmacy

Practice address

150 Walnut Hill Rd
Uniontown, PA 15401-5090

Phone

(724) 438-7455

Fax

(724) 438-7450

NPI assigned

Jun 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Fincke, RPH

Title

VP President

Phone

(724) 438-7455

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WALNUT HILL PHARMACY Doing business as

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1265693063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WALNUT HILL RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015090",
            "telephone_number": "724-438-7455",
            "fax_number": "724-438-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WALNUT HILL RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015090",
            "telephone_number": "724-438-7455",
            "fax_number": "724-438-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "FINCKE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "VP PRESIDENT",
        "authorized_official_telephone_number": "724-438-7455",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3990567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021832250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALNUT HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisa Ann Wally, M.S. NCC CAC-DP LPC
• Anita Walters, LCSW
• Janie Lynn Walz
• Bonita G Wardle Roche, CRNP
• Danielle Ware, RN
• Carol Warman

• Community/Retail Pharmacy in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.