Individual provider Active NPI

Victor McCoy Walker Jr., R.PH., B.C.P.P.

  • Psychiatric Pharmacist
  • El Dorado Hills, CA
National Provider Identifier
1306842679
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
RPH035999 Issued in CA
Practice address
811 Shasta Cir
El Dorado Hills, CA 95762-4535
Phone
(916) 933-2907
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X RPH035999 CA Primary

Addresses

Primary practice location

811 Shasta Cir
El Dorado Hills, CA 95762-4535

Mailing address

811 Shasta Cir
El Dorado Hills, CA 95762-4535
Phone (916) 933-2907

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

LicenseStateTypeSpecialty
RPH035999CAMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1306842679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SHASTA CIR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624535",
            "telephone_number": "916-933-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SHASTA CIR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624535",
            "telephone_number": "916-933-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VICTOR",
        "middle_name": "MCCOY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH., B.C.P.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "RPH035999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.