Donald Earl Walker

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

231 Issued in TN

Legal business name

DONALD EARL WALKER

Practice address

2541 E Broadway Ave
Maryville, TN 37804-2760

Phone

(865) 983-9591

Fax

(865) 983-6632

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Donald Walker, B.S. PHARMACY

Title

Owner

Phone

(865) 983-9591

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VILLAGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1962591594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042760",
            "telephone_number": "865-983-9591",
            "fax_number": "865-983-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042760",
            "telephone_number": "865-983-9591",
            "fax_number": "865-983-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD EARL WALKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-983-9591",
        "authorized_official_credential": "B.S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3543247",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheyenne Doerrer
• Sean Charles Doesburg
• Teri Dohrman, CCC-SLP
• Dominion Maryville,LLC
• Daniel Hill Dominique, FNP
• Donna K Rule
• Morgan Donnell
• Kevin Michael Donovan, M.D.
• Erika Lena Dorfi
• Haley E Douglas, PA-C

• Compounding Pharmacy in Maryville, TN
• Providers in Maryville, TN by specialty
• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.