Active NPI
Heather Lynn Walker, R.PH.
- Pharmacist
- Sun Prairie, WI
National Provider Identifier
1285972273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13261-40
- Practice address
- 302 S Grand Ave
Sun Prairie, WI 53590-9827 - Phone
- (608) 837-5949
- Fax
- (608) 825-3253
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13261-40 | WI | Primary |
| Pharmacist | 183500000X | S010722 | AZ |
Addresses
Primary practice location
302 S Grand Ave
Sun Prairie, WI 53590-9827
Mailing address
302 S Grand Ave
Sun Prairie, WI 53590-9827
Phone (608) 837-5949
Other names 1
- Heather Lynn Luedtke
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 |
|---|---|---|---|
| S010722 | AZ | MD | Pharmacist |
| 13261-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O Connell Pharmacy LTD | Past | Accepting new patients | |
| O Connell Pharmacy LTD | Pharmacist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba O'Connell Pharmacy Long Term Care
- Long Term Care Pharmacy
- Sun Prairie, WI
- NPI 1063781920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1285972273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S GRAND AVE",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535909827",
"telephone_number": "608-837-5949",
"fax_number": "608-825-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S GRAND AVE",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535909827",
"telephone_number": "608-837-5949",
"fax_number": "608-825-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13261-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "LUEDTKE",
"middle_name": "LYNN",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sun Prairie, WI
- Vurtis Brown Williams (VBW Afh Inc)
- Jodi Ann Wagner, CNM
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1267)
- Walgreen Co (Walgreens #10925)
- Walgreen Co (Walgreens #03291)
- Kimberly Ann Walker, RN
- Kecha Wallace, REGISTERED NURSE
- Walters & Associates Speech-Language Services, LLC
- Danielle B Walters, MS, CCC-SLP
- Mary Susan Walters, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.