Active NPI
Cheryl Boehm Walker, RPH
- Pharmacist
- Mishawaka, IN
National Provider Identifier
1982295093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26013448A
- Practice address
- 120 Indian Ridge Blvd
Mishawaka, IN 46545-9033 - Phone
- (574) 243-8419
- Fax
- (574) 243-8521
- NPI assigned
- Feb 1, 2021
- Last updated
- Feb 1, 2021
- Sex
- Female
- 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 | 26013448A | IN | Primary |
Addresses
Primary practice location
120 Indian Ridge Blvd
Mishawaka, IN 46545-9033
Mailing address
53302 Hickory Rd
South Bend, IN 46635-1440
Phone (574) 329-6568
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013448A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1982295093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53302 HICKORY RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351440",
"telephone_number": "574-329-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 INDIAN RIDGE BLVD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465459033",
"telephone_number": "574-243-8419",
"fax_number": "574-243-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CHERYL",
"middle_name": "BOEHM",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013448A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.