Active NPI
Keith Walsh, PHARMD
- Pharmacist
- Clovis, CA
National Provider Identifier
1679203970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37371
- Practice address
- 785 N Medical Center Dr W Ste 304
Clovis, CA 93611-6878 - Phone
- (559) 387-1861
- NPI assigned
- Jun 10, 2022
- Last updated
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 37371 | CA | Primary |
Addresses
Primary practice location
785 N Medical Center Dr W Ste 304
Clovis, CA 93611-6878
Mailing address
8441 N Bond St
Fresno, CA 93720-2150
Phone (559) 917-1749
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37371 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1679203970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8441 N BOND ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202150",
"telephone_number": "559-917-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 N MEDICAL CENTER DR W STE 304",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116878",
"telephone_number": "559-387-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KEITH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "37371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.