NPIMap

Organization Active NPI

Walker Home Medical

  • Home Infusion Therapy Pharmacy
  • Statesboro, GA
National Provider Identifier
1801935259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHRE008665 Issued in GA
Legal business name
WALKER HOME MEDICAL
Practice address
100 Brampton Ave
Ste 1F
Statesboro, GA 30458-0827
Phone
(912) 681-3838
Fax
(912) 681-3839
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jessica Pennington, CTRS
Title
Office Manager
Phone
(912) 681-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X PHRE008665 GA Primary

Addresses

Primary practice location

100 Brampton Ave
Ste 1F
Statesboro, GA 30458-0827

Mailing address

100 Brampton Ave
Ste 1F
Statesboro, GA 30458-0827
Phone (912) 681-3838

National Provider Directory

National Provider Directory
Tax ID family
Walker Home Medical Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Brampton Ave
Ste 1F
Statesboro, GA 30458
Phone (912) 681-3784

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801935259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRAMPTON AVE",
            "address_2": "STE 1F",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580827",
            "telephone_number": "912-681-3838",
            "fax_number": "912-681-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRAMPTON AVE",
            "address_2": "STE 1F",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580827",
            "telephone_number": "912-681-3838",
            "fax_number": "912-681-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-681-3838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE008665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.