Active NPI
Charles A. Walters
- Pharmacist
- Fort Hood, TX
National Provider Identifier
1619146701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20529
- Practice address
- 36000 Darnall Loop
Fort Hood, TX 76544-5095 - Phone
- (866) 530-5693
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20529 | TX | Primary |
Addresses
Primary practice location
36000 Darnall Loop
Fort Hood, TX 76544-5095
Mailing address
8700 Crownhill Blvd
Ste 808
San Antonio, TX 78209-1136
Phone (210) 930-2016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20529 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1619146701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 CROWNHILL BLVD",
"address_2": "STE 808",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091136",
"telephone_number": "210-930-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "866-530-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "CHARLES",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.