Active NPI
Cassandra Jane Walen, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1477843993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21276
- Practice address
- 8830 Albemarle Rd
Charlotte, NC 28227-2616 - Phone
- (704) 264-0079
- NPI assigned
- Apr 18, 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 | 21276 | NC | Primary |
Addresses
Primary practice location
8830 Albemarle Rd
Charlotte, NC 28227-2616
Mailing address
730 Hawthorne LN Apt 161
Charlotte, NC 28204-2173
Phone (218) 779-2083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21276 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1477843993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 HAWTHORNE LN APT 161",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042173",
"telephone_number": "218-779-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 ALBEMARLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282272616",
"telephone_number": "704-264-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALEN",
"first_name": "CASSANDRA",
"middle_name": "JANE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.