NPIMap

Organization Active NPI

Walker Pharmacy and Gifts, Inc.

Doing business as Brooklet Drug

  • Community/Retail Pharmacy
  • Brooklet, GA
National Provider Identifier
1609819804
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9645 Issued in GA
Legal business name
WALKER PHARMACY AND GIFTS, INC.
Doing business as
Brooklet Drug
Practice address
102 Parker Ave S
Brooklet, GA 30415-8208
Phone
(912) 842-9886
Fax
(912) 842-9890
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jordan Dent Walker, PHARMDNPI 1255923710
Title
President
Phone
(912) 681-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9645 GA Primary

Addresses

Primary practice location

102 Parker Ave S
Brooklet, GA 30415-8208

Mailing address

PO Box 215
Brooklet, GA 30415-0215
Phone (912) 842-9886

Other identifiers 3

IdentifierTypeStateIssuer
PHRE010915OtherGASTATE LICENSE
00286899FMedicaidGA
1150678OtherGANCPDP NUMBER

Other names 1

  • Brooklet Drug Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609819804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304150215",
            "telephone_number": "912-842-9886",
            "fax_number": "912-842-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARKER AVE S",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304158208",
            "telephone_number": "912-842-9886",
            "fax_number": "912-842-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER PHARMACY AND GIFTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-681-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "9645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHRE010915",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286899F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1150678",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklet Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooklet Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklet, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.