NPIMap

Organization Active NPI

Walker Pharmacy and Gifts, Inc.

  • Community/Retail Pharmacy
  • Statesboro, GA
National Provider Identifier
1972546125
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6365 Issued in GA
Legal business name
WALKER PHARMACY AND GIFTS, INC.
Doing business as
Walker Pharmacy
Practice address
2425 Northside Dr W
Statesboro, GA 30458-2153
Phone
(912) 764-6715
Fax
(912) 489-4649
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jordan Dent Walker, PHARMD
Title
President
Phone
(912) 681-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6365 GA Primary

Addresses

Primary practice location

2425 Northside Dr W
Statesboro, GA 30458-2153

Mailing address

PO Box 2087
Statesboro, GA 30459-2087
Phone (912) 764-6715

Other identifiers 3

IdentifierTypeStateIssuer
00286899AMedicaidGA
1128811OtherGANCPDP NUMBER
PHRE010914OtherGASTATE LICENSE

Other names 1

  • Walker Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2425 Northside Dr W
Statesboro, GA 30458
Phone (912) 764-6175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972546125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592087",
            "telephone_number": "912-764-6715",
            "fax_number": "912-489-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NORTHSIDE DR W",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582153",
            "telephone_number": "912-764-6715",
            "fax_number": "912-489-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER PHARMACY AND GIFTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-681-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "6365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286899A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1128811",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHRE010914",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.