Elizabeth Marie Waltz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-11107 Issued in KS

Practice address

3201 S Iowa St
Lawrence, KS 66046-5205

Phone

(785) 832-0312

Fax

(785) 312-3452

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1720701980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465205",
            "telephone_number": "785-832-0312",
            "fax_number": "785-312-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-11107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3201 S Iowa St",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660465205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Walters, PHARMD
• Amy Walters
• Mark Eugene Walters, D.C.
• William Clay Walters, LAC, NCAC II, KCGC
• Jeanette Suzanne Walther, MA CCC-SLP
• Sarah Wambheim, ATC
• Ruoyu Wan
• Zi Wang, BCBA
• Carisa M Ward, LMSW
• Erin Lyn Ward, LMSW

• Pharmacist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.