Active NPI
Darcy Walth, R.PH.
- Pharmacist
- Le Mars, IA
National Provider Identifier
1992344204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18491
- Practice address
- 1201 12TH Ave SW
Le Mars, IA 51031-3055 - Phone
- (712) 548-4503
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 18491 | IA | Primary |
Addresses
Primary practice location
1201 12TH Ave SW
Le Mars, IA 51031-3055
Mailing address
1201 12TH Ave SW
Le Mars, IA 51031-3055
Phone (712) 548-4503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18491 | Medicaid | IA |
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 |
|---|---|---|---|
| 18491 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1992344204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 12TH AVE SW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313055",
"telephone_number": "712-548-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 12TH AVE SW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313055",
"telephone_number": "712-548-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTH",
"first_name": "DARCY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18491",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.