Active NPI
William Walton Jr., RPH
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1679969208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06306
- Practice address
- 720 Sutters Creek Blvd
Rocky Mount, NC 27804-8429 - Phone
- (252) 937-4701
- Fax
- (847) 396-2913
- NPI assigned
- Apr 10, 2015
- 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 | 06306 | NC | Primary |
Addresses
Primary practice location
720 Sutters Creek Blvd
Rocky Mount, NC 27804-8429
Mailing address
720 Sutters Creek Blvd
Rocky Mount, NC 27804-8429
Phone (252) 937-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06306 | Medicaid | NC |
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 |
|---|---|---|---|
| 06306 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1679969208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 SUTTERS CREEK BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048429",
"telephone_number": "252-937-4701",
"fax_number": "847-396-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 SUTTERS CREEK BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048429",
"telephone_number": "252-937-4701",
"fax_number": "847-396-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-10",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "06306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06306",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.