Individual provider Active NPI

Walter Harrison Minger II, PHARM D.

  • Clinical Pharmacology Physician
  • Montgomery, AL
National Provider Identifier
1417527821
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pharmacology PhysicianTaxonomy code 208U00000X
License
20953 Issued in AL
Practice address
5331 Perimeter Pkwy
Montgomery, AL 36116-5125
Phone
(334) 833-1335
Fax
(334) 833-1333
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X 20953 AL Primary

Addresses

Primary practice location

5331 Perimeter Pkwy
Montgomery, AL 36116-5125

Mailing address

802 Brewster St
Pike Road, AL 36064-2224
Phone (334) 430-5836

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

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

LicenseStateTypeSpecialty
20953ALMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Pharmacy of Loudon, Inc PastSince Jul 4, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1417527821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BREWSTER ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642224",
            "telephone_number": "334-430-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PERIMETER PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361165125",
            "telephone_number": "334-833-1335",
            "fax_number": "334-833-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGER",
        "first_name": "WALTER",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "AL",
            "license": "20953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "5331 Perimeter Pkwy",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361165125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.