Active NPI
William T Walker, RPH
- Pharmacist
- Crystal Springs, MS
National Provider Identifier
1902361074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-07213
- Practice address
- 113 Bo Bo Dr
Crystal Springs, MS 39059-2741 - Phone
- (601) 892-4121
- NPI assigned
- Feb 4, 2019
- 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 | E-07213 | MS | Primary |
Addresses
Primary practice location
113 Bo Bo Dr
Crystal Springs, MS 39059-2741
Mailing address
1075 Old Parsons Rd
Raymond, MS 39154-7451
Phone (601) 260-6518
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-07213 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Drugs of Crystal Springs, Inc. | Past | Accepting new patients | |
| City Drug, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Crystal Springs, MS
- NPI 1225504269
-
- Community/Retail Pharmacy
- Crystal Springs, MS
- NPI 1205802980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1902361074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 OLD PARSONS RD",
"city": "RAYMOND",
"state": "MS",
"postal_code": "391547451",
"telephone_number": "601-260-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BO BO DR",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390592741",
"telephone_number": "601-892-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "WILLIAM",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-07213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.