Walter John Socha Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

027590 Issued in NY

Practice address

342 Northern Lights Dr
North Syracuse, NY 13212-4127

Phone

(315) 455-7925

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omnicare of New York, LLC

  dba Omnicare of Rochester #48314

  • Long Term Care Pharmacy
  • Rochester, NY
  • NPI 1811009335
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952524225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HALLMORE DR",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312004",
            "telephone_number": "315-487-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 NORTHERN LIGHTS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124127",
            "telephone_number": "315-455-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "WALTER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Optometry, P.C.
• Patricia Mary Slack, ATR-BC, LCAT, CASAC
• Kelley E Sluka
• Jennifer Keyes Slusser, OTR
• Jennifer M Smith, LPN
• Kimberly Anne Sotherden, LPN
• Juan L Sotomayor, MD
• Mary Christine Spinella, PHARMD
• Courtney M Sprague, OTR/L
• Halie Squires

• Pharmacist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.