Active NPI
John Michael Walkup, PHARM. D.
- Pharmacist
- Wasilla, AK
National Provider Identifier
1831554815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2294
- Practice address
- 3674 E Country Field Cir
Wasilla, AK 99654-5101 - Phone
- (907) 352-5563
- Fax
- (866) 537-6321
- NPI assigned
- Dec 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2294 | AK | Primary |
Addresses
Primary practice location
3674 E Country Field Cir
Wasilla, AK 99654-5101
Mailing address
3674 E Country Field Cir
Wasilla, AK 99654-5101
Phone (907) 352-5563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2294 | Other | AK | ALASKA BOARD OF PHARMACY |
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1831554815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3674 E COUNTRY FIELD CIR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996545101",
"telephone_number": "907-352-5563",
"fax_number": "866-537-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 E COUNTRY FIELD CIR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996545101",
"telephone_number": "907-352-5563",
"fax_number": "866-537-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKUP",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA BOARD OF PHARMACY",
"identifier": "2294",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.