Jeffrey Blake Walling, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

112889-7 Issued in MN

Practice address

8451 Pineview LN N
Maple Grove, MN 55369-9105

Phone

(763) 416-4059

NPI assigned

Dec 22, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720065444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 PINEVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699105",
            "telephone_number": "762-416-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 PINEVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699105",
            "telephone_number": "763-416-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLING",
        "first_name": "JEFFREY",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112889-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #01479)
• Ashley Caroline Walker, APRN, RN
• Samantha Ann Walker
• Patrick John Wallace Jr.
• Jody Wallin, LICSW
• Walmart Inc. (Walmart Pharmacy 10-2882)
• Sydney Michelle Walsh
• Wang Periodontics PLLC (Maple Grove Periodontics and Implant Dentistry)
• Eric Wang, DDS
• Warby Parker Inc.

• Pharmacist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.