Individual provider Active NPI

Jennifer Walling, PHARMD

  • Pharmacist
  • Cave City, AR
National Provider Identifier
1699364133
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD11112 Issued in AR
Practice address
316A N Main St
Cave City, AR 72521-9700
Phone
(870) 307-4988
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD11112 AR Primary

Addresses

Primary practice location

316A N Main St
Cave City, AR 72521-9700

Mailing address

260 Puckett Rd
Cave City, AR 72521-9547
Phone (870) 670-4580

Other practice location 1

600 Market St
Horseshoe Bend, AR 72512-3876
Phone (870) 670-4580

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 870-670-4582

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
PD11112ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walling Drug, LLC CurrentSince Apr 6, 2023 Accepting new patients
Walling Drug, LLC CurrentSince Jul 20, 2021 Accepting new patients

Locations

316A N Main St
Cave City, AR 72521
Phone (870) 232-0450

407 S Main St
Ste A
Cave City, AR 72521
Phone (870) 232-0450

316 N Main St
#A
Cave City, AR 72521
Phone (870) 232-0450

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1699364133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PUCKETT RD",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219547",
            "telephone_number": "870-670-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316A N MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219700",
            "telephone_number": "870-307-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Market St",
            "address_purpose": "LOCATION",
            "city": "Horseshoe Bend",
            "state": "AR",
            "postal_code": "725123876",
            "country_code": "US",
            "telephone_number": "870-670-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLING",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "870-670-4582",
            "affiliation": "N",
            "endpointDescription": "secure fax line",
            "address_1": "600 Market St",
            "city": "Horseshoe Bend",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725123876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cave City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.