Active NPI
Constance Inez Vanessa Wormack-Walker, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dade City, FL
National Provider Identifier
1588971774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS0031956
- Practice address
- 11908 Munbury Dr
Dade City, FL 33525-5749 - Phone
- (352) 567-8119
- Fax
- (352) 567-8119
- NPI assigned
- Sep 9, 2010
- Last updated
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS0031956 | FL | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH024802 | GA |
Addresses
Primary practice location
11908 Munbury Dr
Dade City, FL 33525-5749
Mailing address
11908 Munbury Dr
Dade City, FL 33525-5749
Phone (352) 567-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0031956 | Other | FL | DOH PHARMACIST LICENSE |
Other names 1
- Dr. Constance Inez Vanessa Starks
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 |
|---|---|---|---|
| PS0031956 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| RPH024802 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1588971774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11908 MUNBURY DR",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255749",
"telephone_number": "352-567-8119",
"fax_number": "352-567-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11908 MUNBURY DR",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255749",
"telephone_number": "352-567-8119",
"fax_number": "352-567-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORMACK-WALKER",
"first_name": "CONSTANCE",
"middle_name": "INEZ VANESSA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS0031956",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH024802",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH PHARMACIST LICENSE",
"identifier": "PS0031956",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONSTANCE",
"last_name": "STARKS",
"middle_name": "INEZ VANESSA",
"prefix": "DR.",
"credential": "PHARM.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.