Walter Henry Pruitt II, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

012920 Issued in GA

Practice address

1197 Big a Rd
Toccoa, GA 30577-6028

Phone

(706) 886-8711

Fax

(706) 886-4956

NPI assigned

Jun 29, 2006

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

Practice roles

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.

• Ingles Markets Inc

  • Community/Retail Pharmacy
  • Acworth, GA
  • NPI 1023872108
  NPD (past)
• Ingles Markets Inc

  • Community/Retail Pharmacy
  • Toccoa, GA
  • NPI 1467899542
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1760410567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 OAK VALLEY RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305777293",
            "telephone_number": "706-886-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776028",
            "telephone_number": "706-886-8711",
            "fax_number": "706-886-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "WALTER",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pittard Clinic LLC
• Cynthia League Poole, PHYSICAL THERAPIST
• Richard Clayton Power, PT, DPT
• Adrian Nicholas Prather, P.T.
• Natalie Pressley
• Pruitthealth - Toccoa, LLC
• Pruitthealth Pharmacy Services, Inc.
• Enrique Puertos, PHARMD
• Robert E Quick III, MD
• David L Quinn, PA-C

• Pharmacist in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.