Active NPI
Andrea Cooper Walker, PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1932230299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31929
- Practice address
- 5959 Poplar Ave
Memphis, TN 38119-3938 - Phone
- (901) 261-5080
- Fax
- (901) 261-5090
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2974 | TN | |
| Pharmacist | 183500000X | 31929 | TN | Primary |
Addresses
Primary practice location
5959 Poplar Ave
Memphis, TN 38119-3938
Mailing address
5959 Poplar Ave
Memphis, TN 38119-3938
Phone (901) 261-5080
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31929 | TN | MD | Neurological Surgery Physician |
| 2974 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1932230299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193938",
"telephone_number": "901-261-5080",
"fax_number": "901-261-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193938",
"telephone_number": "901-261-5080",
"fax_number": "901-261-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANDREA",
"middle_name": "COOPER",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2974",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "31929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.