Active NPI
Teryn J'Nae Walker, PHARM.D.
- Ambulatory Care Pharmacist
- Lubbock, TX
National Provider Identifier
1386096485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 59041
- Practice address
- 808 Joliet Ave Unit 120
Lubbock, TX 79415-1148 - Phone
- (806) 761-0738
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 59041 | TX | Primary |
Addresses
Primary practice location
808 Joliet Ave Unit 120
Lubbock, TX 79415-1148
Mailing address
808 Joliet Ave Unit 120
Lubbock, TX 79415-1148
Phone (806) 761-0738
Other names 1
- Teryn Bibb
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59041 | TX | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Past | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Pharmacy
- Iowa City, IA
- NPI 1508858127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1386096485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 JOLIET AVE UNIT 120",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151148",
"telephone_number": "806-761-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 JOLIET AVE UNIT 120",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151148",
"telephone_number": "806-761-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TERYN",
"middle_name": "J'NAE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "59041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERYN",
"last_name": "BIBB",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.