Active NPI
Patricia Ann Walther, RPH
- Pharmacist
- Mount Pleasant, WI
National Provider Identifier
1265715379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11606-040
- Practice address
- 4901 Spring St
Mount Pleasant, WI 53406-2901 - Phone
- (262) 886-9683
- NPI assigned
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11606-040 | WI | Primary |
Addresses
Primary practice location
4901 Spring St
Mount Pleasant, WI 53406-2901
Mailing address
4901 Spring St
Mount Pleasant, WI 53406-2901
Phone (262) 886-9683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11606-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1265715379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534062901",
"telephone_number": "262-886-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534062901",
"telephone_number": "262-886-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11606-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.