Individual provider Active NPI

John Martin Walsh

  • Pharmacist
  • Baldwinsville, NY
National Provider Identifier
1609469089
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064436 Issued in NY
Practice address
2231 Downer Street Rd
Baldwinsville, NY 13027-8711
Phone
(315) 638-3601
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064436 NY Primary

Addresses

Primary practice location

2231 Downer Street Rd
Baldwinsville, NY 13027-8711

Mailing address

2231 Downer Street Rd
Baldwinsville, NY 13027-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RXM.10749@store.walgreens.com Direct WALGREENS

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

LicenseStateTypeSpecialty
064436NYMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rxm.10749@store.walgreens.com

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1609469089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 DOWNER STREET RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 DOWNER STREET RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278711",
            "telephone_number": "315-638-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RXM.10749@store.walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "Walgreens  email",
            "affiliationName": "WALGREENS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Store email",
            "address_1": "2231 Downer Street Rd",
            "city": "Baldwinsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130278711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.