Active NPI
Stephanie Skye Walker, PHARMD
- Pharmacist
- Gallup, NM
National Provider Identifier
1396224713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008946
- Practice address
- 907 W Coal Ave
Gallup, NM 87301-6643 - Phone
- (505) 726-4155
- Fax
- (505) 726-4304
- NPI assigned
- Aug 7, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008946 | NM | Primary |
Addresses
Primary practice location
907 W Coal Ave
Gallup, NM 87301-6643
Mailing address
907 W Coal Ave
Gallup, NM 87301-6643
Phone (505) 726-4155
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 |
|---|---|---|---|
| RP00008946 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1396224713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 W COAL AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873016643",
"telephone_number": "505-726-4155",
"fax_number": "505-722-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 W COAL AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873016643",
"telephone_number": "505-726-4155",
"fax_number": "505-726-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "STEPHANIE",
"middle_name": "SKYE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.