Individual provider Active NPI

Todd A. Walter, PHARM D

  • Pharmacist
  • Houston, TX
National Provider Identifier
1609539204
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41505 Issued in TX
Practice address
6410 Fannin St Ste 116
Houston, TX 77030-3006
Phone
(713) 799-1472
Fax
(713) 799-1473
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 41505 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 116
Houston, TX 77030-3006

Mailing address

9119 Highway 6 # 212-230
Missouri City, TX 77459-4876
Phone (832) 703-3651

Other practice location 1

10211 E Crosby Ln
Missouri City, TX 77459-6580
Phone (832) 703-3651

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

LicenseStateTypeSpecialty
41505TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Pharmacy Inc Current Accepting new patients
HPB Pharmacy CurrentSince Oct 24, 2021 Accepting new patients
HPB Pharmacy PastSince Oct 24, 2021 Accepting new patients

Locations

6410 Fannin St
Ste 116
Houston, TX 77030
Phone (713) 799-1472

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1609539204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 # 212-230",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "832-703-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303006",
            "telephone_number": "713-799-1472",
            "fax_number": "713-799-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10211 E Crosby Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774596580",
            "country_code": "US",
            "telephone_number": "832-703-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "TODD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.