Active NPI
Lindsay Wall, PHARMACIST
- Pharmacist
- New York, NY
National Provider Identifier
1851720759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051305243
- Practice address
- 417 E 90TH St
New York, NY 10128-5147 - Phone
- (888) 638-1180
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051305243 | IL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 051305243 | IL | |
| Pharmacist | 183500000X | 051305243 | IL | Primary |
Addresses
Primary practice location
417 E 90TH St
New York, NY 10128-5147
Mailing address
3702 W Spruce St # 1471
Tampa, FL 33607-2553
Phone (132) 196-0641
Other names 1
- Dr. Lindsay Wall
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051305243 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1851720759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 W SPRUCE ST # 1471",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072553",
"telephone_number": "132-196-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E 90TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285147",
"telephone_number": "888-638-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051305243",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051305243",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051305243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "WALL",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.