Active NPI
Amber Walter
- Pharmacist
- Jackson, MO
National Provider Identifier
1548614209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2008027467
- Practice address
- 125 Court St
Jackson, MO 63755-1807 - Phone
- (573) 243-3524
- NPI assigned
- Apr 19, 2016
- Last updated
- Apr 19, 2016
- 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 | 2008027467 | MO | Primary |
Addresses
Primary practice location
125 Court St
Jackson, MO 63755-1807
Mailing address
125 Court St
Jackson, MO 63755-1807
Phone (573) 243-3524
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600130504 | Medicaid | MO | |
| 600995807 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008027467 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1548614209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2008027467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600130504",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600995807",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
- Andria Dennis Turner, RN
- Vitality Clinic
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0122)
- Wal-Mart Stores East, LP (Vision Center 30-0122)
- Courtney Drew Walker, COTA
- Judith Walton, MSP, CCC-SLP
- Tonya Rose Ward, MSOT, OTR/L
- Heather Michelle Weber, PHARMD
- Crystal Ann Wekenborg, FNP
- Krista Leigh-Anne Weseli, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.