Organization Active NPI

Walters Pharmacy Inc

  • Community/Retail Pharmacy
  • Allentown, PA
National Provider Identifier
1366445827
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412814L Issued in PA
Legal business name
WALTERS PHARMACY INC
Practice address
401 N 17TH St
Suite 102
Allentown, PA 18104-5034
Phone
(610) 435-4706
Fax
(610) 435-2107
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Howard Anthony, RPH
Title
Owner
Phone
(610) 435-4706

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP412814L PA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

401 N 17TH St
Suite 102
Allentown, PA 18104-5034

Mailing address

401 N 17TH St
Suite 102
Allentown, PA 18104-5034
Phone (610) 435-4706

Other identifiers 2

IdentifierTypeStateIssuer
05610030005MedicaidPA
2080026OtherPK

Other names 1

  • WALTERS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

401 N 17th St
Ste 102
Allentown, PA 18104
Phone (610) 435-4706

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1366445827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 17TH ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045034",
            "telephone_number": "610-435-4706",
            "fax_number": "610-435-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 17TH ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045034",
            "telephone_number": "610-435-4706",
            "fax_number": "610-435-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-435-4706",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412814L",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05610030005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALTERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.