Edward Aymer Walker
Individual provider Active NPI Pharmacist · Redding, CT
NPI 1881964575 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1881964575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0000564 (CT)
- Practice address
- 8 Bayberry LN
Redding, CT 06896-1828 - Phone
- (203) 374-2819
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0000564 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0000564 | CT | Yes |
Addresses
Primary practice location
8 Bayberry LN
Redding, CT 06896-1828
Mailing address
8 Bayberry LN
Redding, CT 06896-1828
Other providers in Redding, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.