Brian Joseph Walker, PHARMD
Individual provider Active NPI Pharmacist · Vernon, CT
NPI 1750909149 · NPPES record last updated Jul 11, 2020
Key facts
- NPI
- 1750909149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14892 (CT)
- Practice address
- 22 Windsor Ave
Vernon, CT 06066-2439 - Phone
- (860) 870-6765
- NPI assigned
- Jul 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14892 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients | |
| Connecticut CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14892 | CT | Yes |
Addresses
Primary practice location
22 Windsor Ave
Vernon, CT 06066-2439
Mailing address
165 South St Unit 32
Vernon, CT 06066-4417
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.