Walker Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1188021703 Issued in UT

Legal business name

WALKER DRUG COMPANY INC

Doing business as

Walker Drug

Practice address

290 S. Main St.
Moab, UT 84532

Phone

(435) 259-5959

Fax

(435) 259-0174

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Walker, PHARMACIST

Title

President/Ownee

Phone

(435) 259-5959

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Walker Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Walker Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Walker Drug Company, Inc

  dba Walker Drug

  • Pharmacist
  • Moab, UT
  • NPI 1013071265
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Walker

  • Pharmacist
  • Moab, UT
  • NPI 1639769102
  NPD
• Ronald Henry Engberson, PHARM-D

  • Pharmacist
  • Las Vegas, NV
  • NPI 1376844779
  NPD
• Matt Amidan

  • Pharmacist
  • Moab, UT
  • NPI 1174203467
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1881786358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S. MAIN ST.",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-259-5959",
            "fax_number": "435-259-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S. MAIN ST.",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-259-5959",
            "fax_number": "435-259-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT/OWNEE",
        "authorized_official_telephone_number": "435-259-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "87418",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "1188021703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4601743",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Treatment Compass
• Felicia Marie Tsosie
• Utah State University
• Kelly Vagts
• Tiffany Lee Ann Van Sickle, B.S.
• Walker Drug Company, Inc (Walker Drug)
• April Walker
• Patricia Walker
• James Walling, RPA/RA
• Heather M. Ward, RN

• Community/Retail Pharmacy in Moab, UT
• Providers in Moab, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.