Individual provider Active NPI

Laura Jane Walters, R.PH.

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1891943270
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26022621A Issued in IN
Practice address
2825 W Perimeter Rd
116
Indianapolis, IN 46241-3612
Phone
(317) 484-4863
Fax
(800) 221-6915
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26022621A IN Primary

Addresses

Primary practice location

2825 W Perimeter Rd
116
Indianapolis, IN 46241-3612

Mailing address

2825 W Perimeter Rd
116
Indianapolis, IN 46241-3612
Phone (317) 484-4863

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26022621AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1891943270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 W PERIMETER RD",
            "address_2": "116",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413612",
            "telephone_number": "317-484-4863",
            "fax_number": "800-824-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 W PERIMETER RD",
            "address_2": "116",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413612",
            "telephone_number": "317-484-4863",
            "fax_number": "800-221-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022621A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.