Active NPI
Walter Valdes, PHARMD
- Pharmacist
- Commerce, CA
National Provider Identifier
1417224510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65922
- Practice address
- 5600 Whittier Blvd
T-0189
Commerce, CA 90022-4106 - Phone
- (323) 725-7861
- NPI assigned
- Nov 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 65922 | CA | Primary |
Addresses
Primary practice location
5600 Whittier Blvd
T-0189
Commerce, CA 90022-4106
Mailing address
525 Los Angeles Ave
Monrovia, CA 91016-4228
Phone (626) 533-9974
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1417224510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 LOS ANGELES AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910164228",
"telephone_number": "626-533-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 WHITTIER BLVD",
"address_2": "T-0189",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900224106",
"telephone_number": "323-725-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "WALTER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.