Active NPI
Walters Pharmacy Inc
- Community/Retail Pharmacy
- Allentown, PA
National Provider Identifier
1366445827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412814L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05610030005 | Medicaid | PA | |
| 2080026 | Other | PK |
Other names 1
- WALTERS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Allentown, PA
- NPI 1982228516
-
- Pharmacist
- Allentown, PA
- NPI 1528682218
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.