Individual provider Active NPI

Lori Penelope Walters, RPH

  • Pharmacist
  • Lumberton, NC
National Provider Identifier
1992933022
Registry record updated Jun 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10742 Issued in NC
Practice address
2750 N Roberts Ave
Lumberton, NC 28358-2856
Phone
(910) 739-4999
Fax
(910) 739-8580
NPI assigned
Jun 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10742 NC Primary

Addresses

Primary practice location

2750 N Roberts Ave
Lumberton, NC 28358-2856

Mailing address

2750 N Roberts Ave
Lumberton, NC 28358-2856
Phone (910) 739-4999

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

LicenseStateTypeSpecialty
10742NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1246060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246060800000",
    "number": "1992933022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N ROBERTS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582856",
            "telephone_number": "910-739-4999",
            "fax_number": "910-739-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N ROBERTS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582856",
            "telephone_number": "910-739-4999",
            "fax_number": "910-739-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LORI",
        "middle_name": "PENELOPE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-27",
        "last_updated": "2009-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "10742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2009; 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.