Vinay Walter, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

046640 Issued in NY

Practice address

3411 Broadway
New York, NY 10031-7407

Phone

(212) 283-6623

Fax

(212) 283-5764

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• 139 Pharmacy, Inc.

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1194861104

  Pharmacist

  NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1396997409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317407",
            "telephone_number": "212-283-6623",
            "fax_number": "212-283-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317407",
            "telephone_number": "212-283-6623",
            "fax_number": "212-283-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "VINAY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194861104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter C Walter, LMHC
• Peter H Walter, PTA
• Seth David Walter
• Shauna Danielle Walter, MS,MHC
• Sondra Michelle Walter, NP
• William Roccos Walter, M.D.
• Erica Walters-Rodney
• Aliage M Walters
• Alicia C Walters
• Amanda Walters

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

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

Verify at the official NPI Registry.