Active NPI
Jeremy Bruce Walker, PHARMD
- Pharmacist
- Yukon, OK
National Provider Identifier
1720919681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14783
- Practice address
- 13341 Ambleside Dr
Yukon, OK 73099-4580 - Phone
- (405) 503-7916
- NPI assigned
- May 28, 2026
- 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 | 14783 | OK | Primary |
Addresses
Primary practice location
13341 Ambleside Dr
Yukon, OK 73099-4580
Mailing address
13341 Ambleside Dr
Yukon, OK 73099-4580
Phone (405) 503-7916
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14783 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1720919681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13341 AMBLESIDE DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994580",
"telephone_number": "405-503-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 AMBLESIDE DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994580",
"telephone_number": "405-503-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JEREMY",
"middle_name": "BRUCE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.