Individual provider Active NPI

Marla Walker, DOCTOR OF PHARMACY

  • Pharmacist
  • Jackson, TN
National Provider Identifier
1295341782
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44360 Issued in TN
Practice address
93 Stonebrook PL
Jackson, TN 38305-3637
Phone
(731) 660-2845
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44360 TN Primary

Addresses

Primary practice location

93 Stonebrook PL
Jackson, TN 38305-3637

Mailing address

57 Jadewood Dr
Jackson, TN 38305-1731
Phone (731) 217-0737

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

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1295341782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JADEWOOD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051731",
            "telephone_number": "731-217-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 STONEBROOK PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053637",
            "telephone_number": "731-660-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARLA",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.