Active NPI
Nadine Eugenie Walker, PHARMACIST
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1942086285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66185
- Practice address
- 8701 S US Highway 1
Port St Lucie, FL 34952-3333 - Phone
- (772) 301-1095
- NPI assigned
- Sep 4, 2023
- Sex
- Female
- 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 | PS66185 | FL | Primary |
Addresses
Primary practice location
8701 S US Highway 1
Port St Lucie, FL 34952-3333
Mailing address
1922 SE Burgundy LN
Port St Lucie, FL 34952-8866
Phone (561) 530-9983
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66185 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pills Potions & Lotions | Current | Accepting new patients | |
| Pills Potions & Lotions | Past | Accepting new patients |
Locations
8701 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 301-1095
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.
-
- Long Term Care Pharmacy
- Port St Lucie, FL
- NPI 1114540770
-
- Community/Retail Pharmacy
- Port St Lucie, FL
- NPI 1508356536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1942086285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 SE BURGUNDY LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349528866",
"telephone_number": "561-530-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 S US HIGHWAY 1",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349523333",
"telephone_number": "772-301-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "NADINE",
"middle_name": "EUGENIE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.