Abigail Michele Walters, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302412875 Issued in MI

Practice address

3390 West Rd
Trenton, MI 48183-2323

Phone

(734) 676-6622

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walnut Associates I LLC

  • Long Term Care Pharmacy
  • Trenton, MI
  • NPI 1164093878
  NPD
• Walnut Associates I LLC

  • Community/Retail Pharmacy
  • Trenton, MI
  • NPI 1003924465
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1487310330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 GRANGE RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832323",
            "telephone_number": "734-676-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23050 West Rd",
            "address_purpose": "LOCATION",
            "city": "Brownstown Twp",
            "state": "MI",
            "postal_code": "48183",
            "country_code": "US",
            "telephone_number": "734-671-1499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22505 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "48183",
            "country_code": "US",
            "telephone_number": "734-676-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ABIGAIL",
        "middle_name": "MICHELE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Waite, RN, BSN
• Walgreen Co
• Stacey Ann Wallace, CPHT
• Walnut Associates I LLC
• Walnut Associates I LLC
• Mina Wassef, DO
• Watch US Grow Pediatrics PC
• Taylor Weddington
• Maya Weitzer, M.D.
• Stephen Michael Welch, D.O.

• All providers in Trenton, MI
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.