Organization Active NPI

Walker Pharmacy

  • Community/Retail Pharmacy
  • Gladewater, TX
National Provider Identifier
1811087356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14725 Issued in TX
Legal business name
WALKER PHARMACY
Practice address
402 B W Upshur
Gladewater, TX 75647
Phone
(903) 845-2573
Fax
(903) 845-2266
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
James Walker
Title
Owner
Phone
(903) 845-2573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14725 TX Primary

Addresses

Primary practice location

402 B W Upshur
Gladewater, TX 75647

Mailing address

402 B W Upshur
Gladewater, TX 75647
Phone (903) 845-2573

Other identifiers 1

IdentifierTypeStateIssuer
143775MedicaidTX

National Provider Directory

National Provider Directory

Locations

402 W Upshur Ave
#B
Gladewater, TX 75647
Phone (903) 845-2573

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811087356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 B W UPSHUR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "75647",
            "telephone_number": "903-845-2573",
            "fax_number": "903-845-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 B W UPSHUR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "75647",
            "telephone_number": "903-845-2573",
            "fax_number": "903-845-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-845-2573"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "14725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143775",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladewater, TX

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.