Individual provider Active NPI

Pamela J. Walpole, R.PH.

  • Pharmacist
  • Webster, NY
National Provider Identifier
1770769838
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
036521 Issued in NY
Practice address
1050 Ridge Rd
Webster, NY 14580-2908
Phone
(585) 216-3001
Fax
(585) 216-3001
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 036521 NY Primary

Addresses

Primary practice location

1050 Ridge Rd
Webster, NY 14580-2908

Mailing address

1050 Ridge Rd
Webster, NY 14580-2908
Phone (585) 216-3001

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
036521NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1770769838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802908",
            "telephone_number": "585-216-3001",
            "fax_number": "585-216-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802908",
            "telephone_number": "585-216-3001",
            "fax_number": "585-216-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALPOLE",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "036521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.