Individual provider Active NPI

Heather Boulet Walker, PHARMD

  • Pharmacist
  • Sun City West, AZ
National Provider Identifier
1659929057
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024327 Issued in AZ
Practice address
13323 W Hardwood Dr
Sun City West, AZ 85375-4938
Phone
(574) 265-3637
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26026055A IN
Pharmacist 183500000X S024327 AZ Primary

Addresses

Primary practice location

13323 W Hardwood Dr
Sun City West, AZ 85375-4938

Mailing address

PO Box 9194
Surprise, AZ 85374-0136

Other practice location 1

706 W Montecito Ave
Phoenix, AZ 85013-2814
Phone (602) 277-4714

Other practice location 2

1775 E Center St
Warsaw, IN 46580-3603
Phone (574) 267-7356

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
S024327AZMDPharmacist
26026055AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Pharmacy LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

706 W Montecito Ave
Phoenix, AZ 85013
Phone (602) 277-4714

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1659929057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9194",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 W HARDWOOD DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754938",
            "telephone_number": "574-265-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 W Montecito Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850132814",
            "country_code": "US",
            "telephone_number": "602-277-4714",
            "fax_number": "602-264-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 E Center St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803603",
            "country_code": "US",
            "telephone_number": "574-267-7356",
            "fax_number": "574-267-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HEATHER",
        "middle_name": "BOULET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26026055A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.