Vernon Wall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

8630 Issued in OK

Practice address

1005 Arlington St
Ada, OK 74820-4036

Phone

(580) 272-0283

NPI assigned

Jun 21, 2017

Last updated

Jun 21, 2017By the provider in NPPES

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1780104620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19850 COUNTY ROAD 1544",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204036",
            "telephone_number": "580-272-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "VERNON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "8630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Walker
• Doyle Matthew Walker, P.T.
• Ron Gene Walkup, D.D.S.
• Tammi Walkup
• Melissa Jean Wall, BHRS II
• Lewis Alfred Wallace, DO
• Tonie Waller, DDS
• Kandice Wallis
• Makenzi Ann Walls
• Karen Ruth Walters, RN

• Pharmacist in Ada, OK
• Providers in Ada, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.