Individual provider Active NPI

Coty Michael Walters, PHARM.D.

  • Pharmacist
  • Oklahoma City, OK
National Provider Identifier
1942645304
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15197 Issued in OK
Practice address
1801 Belle Isle Blvd
Oklahoma City, OK 73118-4221
Phone
(405) 841-6516
Fax
(405) 841-6518
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15197 OK Primary

Addresses

Primary practice location

1801 Belle Isle Blvd
Oklahoma City, OK 73118-4221

Mailing address

1801 Belle Isle Blvd
Oklahoma City, OK 73118-4221
Phone (405) 841-6516

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

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1942645304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BELLE ISLE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184221",
            "telephone_number": "405-841-6516",
            "fax_number": "405-841-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BELLE ISLE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184221",
            "telephone_number": "405-841-6516",
            "fax_number": "405-841-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "COTY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.