DONALD EARL WALKER (NPI# 1962591594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962591594 |
| Entity Type | Organization |
| Organization Name | DONALD EARL WALKER |
| Other Organization Name | VILLAGE PHARMACY |
| Practice Address |
2541 E Broadway Ave Maryville TN 37804-2760 |
| Practice Telephone | 8659839591 |
| Practice Fax Number | 8659836632 |
| Mailing Telephone | 8659839591 |
| Mailing Fax Number | 8659836632 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | DONALD WALKER (OWNER) |
| Authorized Official Telephone | 8659839591 |
| Authorized Official Credential | B.S. PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
231 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2088665 | 01 | |
| TN | 3543247 | 05 |
| Other Name | Type Code |
|---|---|
| VILLAGE PHARMACY | Doing Business As Name - Organization |
| Street Address |
2541 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174542633 | Donald Earl Walker | Pharmacist | 2541 E Broadway Ave, Maryville, TN 37804-2760 | 2006-07-18 |
| 1659830701 | Walker & Wyatt, LLC | Pharmacist | 2541 E Broadway Ave, Maryville, TN 37804-2760 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091488 | Phipps Pharmacy Inc | Pharmacy | 20190 Main St E, Huntingdon, TN 38344-4119 | 2019-12-23 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1700444163 | Parish Pharmacy Enterprise LLC | Pharmacy | 1162 W Poplar Ave, Collierville, TN 38017-3196 | 2019-05-31 |
| 1538726211 | Airville Pharmacy, LLC | Pharmacy | 1785 Airport Rd Ste A, Gallatin, TN 37066-3740 | 2019-05-29 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1922575315 | The Compounding Lab | Pharmacy | 714 W Market St Ste 101, Johnson City, TN 37604-5483 | 2018-10-24 |
| 1013495472 | Sarjo Pharmacy, Inc. | Pharmacy | 3385 Airways Blvd Ste 217, Memphis, TN 38116-3808 | 2018-07-29 |
| 1518443241 | Jj Beans At Lenox LLC | Pharmacy | 6900 Lenox Village Dr Ste 14, Nashville, TN 37211-7366 | 2018-07-16 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1144747411 | River City Pharmacy Inc | Pharmacy | 5564 Little Debbie Pkwy, Suite 102, Ooltewah, TN 37363-4356 | 2017-08-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.