Individual provider Active NPI

Lana Walker

  • Pharmacist
  • Heflin, AL
National Provider Identifier
1295133155
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14793 Issued in AL
Practice address
64 Giles St
Heflin, AL 36264-1738
Phone
(256) 463-3307
Fax
(256) 463-2026
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14793 AL Primary

Addresses

Primary practice location

64 Giles St
Heflin, AL 36264-1738

Mailing address

64 Giles St
Heflin, AL 36264-1738
Phone (256) 463-3307

Other identifiers 1

IdentifierTypeStateIssuer
158689MedicaidAL

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

State licenses

LicenseStateTypeSpecialty
14793ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1295133155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GILES ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641738",
            "telephone_number": "256-463-3307",
            "fax_number": "256-463-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 GILES ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641738",
            "telephone_number": "256-463-3307",
            "fax_number": "256-463-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158689",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heflin, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.