Active NPI
Stuart N Walker, RPH
- Pharmacist
- Nevada, MO
National Provider Identifier
1962002105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040888
- Practice address
- 2250 Lincoln Ave
Nevada, MO 64772-4258 - Phone
- (417) 667-3011
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 040888 | MO | Primary |
Addresses
Primary practice location
2250 Lincoln Ave
Nevada, MO 64772-4258
Mailing address
404 White Oak Dr
El Dorado Springs, MO 64744-2600
Phone (417) 296-0759
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1962002105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WHITE OAK DR",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "647442600",
"telephone_number": "417-296-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 LINCOLN AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647724258",
"telephone_number": "417-667-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "STUART",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "040888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.