Michael Thomas Walden, R.PH.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

11062 Issued in AL

Practice address

211 Summit Pkwy
Suite 112
Homewood, AL 35209-4751

Phone

(205) 916-2267

Fax

(205) 916-0877

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Tara Pharmacy SE LLC

  • Long Term Care Pharmacy
  • Homewood, AL
  • NPI 1073696365
  NPD (past)
• Tara Pharmacy SE, LLC

  • Geriatric Pharmacist
  • Homewood, AL
  • NPI 1063549368
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1609847540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DREXAL DR",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351217075",
            "telephone_number": "205-559-3416",
            "fax_number": "205-625-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY",
            "address_2": "SUITE 112",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094751",
            "telephone_number": "205-916-2267",
            "fax_number": "205-916-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AL",
            "license": "11062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vlachos and Feagin Orthodontics, P. C.
• Christos Canellos Vlachos, DMD, DDS, MS
• Brian Kenneth Wade, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Alisa Faye Byrd Walker, CRNP
• Walks of Life, LLC
• Cody Ryan Wall, PT, DPT
• Allison Walta, PHARMD
• Kara Ward, DMD

• Pharmacotherapy Pharmacist in Homewood, AL
• Providers in Homewood, AL by specialty
• Pharmacotherapy Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.