Active NPI
Patricia Walker
- Pharmacist
- Moab, UT
National Provider Identifier
1639769102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5270492-1701
- Practice address
- 290 S Main St
Moab, UT 84532-8453 - Phone
- (435) 259-5959
- Fax
- (435) 259-0174
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- 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 | 5270492-1701 | UT | Primary |
Addresses
Primary practice location
290 S Main St
Moab, UT 84532-8453
Mailing address
290 S Main St
Moab, UT 84532
Phone (435) 259-5959
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 |
|---|---|---|---|
| 5270492-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Drug Company, Inc | Pharmacist | Current | Accepting new patients |
| Walker Drug Company Inc | Current | Accepting new patients |
Locations
290 S Main St
Moab, UT 84532
Phone (435) 259-5959
Organizations & group practices 2
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": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1639769102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 S MAIN ST",
"city": "MOAB",
"state": "UT",
"postal_code": "84532",
"telephone_number": "435-259-5959",
"fax_number": "435-259-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 S MAIN ST",
"city": "MOAB",
"state": "UT",
"postal_code": "845328453",
"telephone_number": "435-259-5959",
"fax_number": "435-259-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5270492-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.