Walkers Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

TX0033 Issued in TX

Legal business name

WALKERS PHARMACY

Practice address

112 W Main St
Madisonville, TX 77864-1905

Phone

(936) 348-2671

Fax

(936) 348-2236

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Martin, RPH

Title

Owner

Phone

(936) 348-2671

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1497803407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641905",
            "telephone_number": "936-348-2671",
            "fax_number": "936-348-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-348-2671",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "TX0033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4509660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4509660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trusted Hearts Health Services, PLLC (Aurora Concepts Madisonville)
• Maria Antonia Vera
• Bobby Melvin Vincent, MD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0446)
• Walker County Hospital Corporation (Huntsville Memorial Hospital)
• West Wharton County Hospital District (Avir at Madisonville)

• Community/Retail Pharmacy in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.