Active NPI
Pamela Bea Olga Walker, RPH, PHARMD
- Pharmacist
- Livonia, MI
National Provider Identifier
1407131501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038274
- Practice address
- 17001 Newburgh Rd # 10359
Livonia, MI 48154-1610 - Phone
- (734) 462-1707
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- 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 | 5302038274 | MI | Primary |
Addresses
Primary practice location
17001 Newburgh Rd # 10359
Livonia, MI 48154-1610
Mailing address
730 Drexel St
Dearborn, MI 48128-1605
Phone (313) 561-5970
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302038274 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1407131501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 DREXEL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281605",
"telephone_number": "313-561-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17001 NEWBURGH RD # 10359",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541610",
"telephone_number": "734-462-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PAMELA",
"middle_name": "BEA OLGA",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.