John Walz

Primary specialty

PharmacistTaxonomy code 183500000X

License

118542 Issued in MN

Practice address

4404 Highway 29 S
Alexandria, MN 56308-2915

Phone

(320) 763-7393

NPI assigned

Jan 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325376000000",
    "number": "1801166319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 34TH AVE E APT 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 HIGHWAY 29 S",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082915",
            "telephone_number": "320-763-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-01",
        "last_updated": "2012-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118542",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "R5580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Averi Elizabeth Walsh
• Nicole Walsh
• Thomas Eugene Walsh
• Allison Paige Walter
• Amanda M Walz, M.D.
• Brian Michael Warzecha, CRNA
• Jennessa Marie Nielsen Warzecha, M.D.
• David A Watkin, MD
• Lukas Wavra, MOTR/L
• Wayne D. Knauf, D.C.P.a.

• Pharmacist in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; 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.