James Wall

Primary specialty

PharmacistTaxonomy code 183500000X

License

041455 Issued in MO

Practice address

5805 N Polk Dr
Kansas City, MO 64151-2691

Phone

(816) 505-3560

Fax

(816) 505-3560

NPI assigned

Jun 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1992066070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N. LINCOLN AVE, SUITE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 N POLK DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512691",
            "telephone_number": "816-505-3560",
            "fax_number": "816-505-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27680",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041455",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Walker
• Wendy Walker
• Christina K Wall, RN
• Cynthia Rose Wall
• Dustin A. Wall, LPC
• Jeffrey W Wall, M.D
• Terry J Wall, MD
• Allie Wallace, DO
• Cynthia Calbert Wallace, M.D.
• Darryl Wallace, MD

• Pharmacist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.