Individual provider Active NPI

Ryan G Walker, PHARM.D.

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1447530092
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13554 Issued in OK
Practice address
3840 S 103Rd East Ave
Ste 234
Tulsa, OK 74146-2438
Phone
(918) 660-0576
Fax
(918) 660-0599
NPI assigned
Aug 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13554 OK Primary
Pharmacist 183500000X 13362 AZ
Pharmacist 183500000X 051.293796 IL
Pharmacist 183500000X PD10765 AR

Addresses

Primary practice location

3840 S 103Rd East Ave
Ste 234
Tulsa, OK 74146-2438

Mailing address

3840 S 103Rd East Ave
Ste 234
Tulsa, OK 74146-2438
Phone (918) 660-0576

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
PD10765ARMDPharmacist
13362AZMDPharmacist
051.293796ILMDPharmacist
13554OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1447530092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE",
            "address_2": "STE 234",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462438",
            "telephone_number": "918-660-0576",
            "fax_number": "918-660-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE",
            "address_2": "STE 234",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462438",
            "telephone_number": "918-660-0576",
            "fax_number": "918-660-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "RYAN",
        "middle_name": "G",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13554",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "13362",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293796",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.