Active NPI
Walter Victor Maikranz, RPH
- Pharmacist
- Fort Wayne, IN
National Provider Identifier
1679761191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26014087
- Practice address
- 6326 Salge Dr
Fort Wayne, IN 46835-2460 - Phone
- (260) 486-2557
- Fax
- (260) 486-2557
- NPI assigned
- Oct 10, 2007
- 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 | 26014087 | IN | Primary |
Addresses
Primary practice location
6326 Salge Dr
Fort Wayne, IN 46835-2460
Mailing address
6326 Salge Dr
Fort Wayne, IN 46835-2460
Phone (260) 486-2557
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26014087 | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1679761191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6326 SALGE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352460",
"telephone_number": "260-486-2557",
"fax_number": "260-486-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 SALGE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352460",
"telephone_number": "260-486-2557",
"fax_number": "260-486-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIKRANZ",
"first_name": "WALTER",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.