TODD M WALLS (NPI# 1073175154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073175154 |
| Entity Type | Individual |
| Full Name | TODD M WALLS |
| Credential | PHARMD |
| Practice Address |
1411 E Amarillo Blvd Amarillo TX 79107-5555 |
| Practice Telephone | 8063517240 |
| Practice Fax Number | 8063517306 |
| Mailing Telephone | 8063517240 |
| Mailing Fax Number | 8063517306 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37799 | TX | Pharmacy Service Providers |
| Street Address |
1411 E AMARILLO BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79107-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726212 | Jeffrey S Pickens | Family Medicine | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2005-11-08 |
| 1760030100 | Jennifer Kathryn Ebeling | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2019-08-29 |
| 1245796911 | William Bowman | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2019-02-18 |
| 1427523737 | Meredith Mercer | Pharmacist | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2018-10-12 |
| 1043766272 | Blanca Rangel | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2016-08-28 |
| 1063863314 | Brandi Lehning | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2016-06-28 |
| 1770903304 | Whitney L Dowd | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2014-04-22 |
| 1780008904 | Northwest Texas Wyatt Clinic Pllc | Family Medicine | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2014-02-07 |
| 1578998951 | Cecelia Garcia Brewer | Nurse Practitioner | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2013-09-04 |
| 1215371539 | Alanna Briane Barfoot | Family Medicine | 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | 2013-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851738884 | Daniel J Meadors | Dentist | 2201 N. Grand, Amarillo, TX 79107 | 2013-05-31 |
| 1568660785 | Keelie Nicole Hauk | Dental Hygienist | 850 Martin Road, Amarillo, TX 79107 | 2007-07-10 |
| 1346361664 | Daniel J Meadors Dds Inc | Dentist | 2201 N Grand, Amarillo, TX 79107 | 2007-04-03 |
| 1881701795 | John C Curry | Dentist | 2201 N Grand St, Amarillo, TX 79107 | 2006-08-24 |
| 1285633305 | Kathy Ann Ford | Nurse Practitioner | 824 Martin Rd, Amarillo, TX 79107 | 2005-07-20 |
| 1629572854 | Ihnbae Cho | Dentist | 206 Ne 7th Ave, Amarillo, TX 79107 | 2018-03-21 |
| 1467736363 | Maria Fernanda Contreras | Pediatrics | 713 N Taylor St, Amarillo, TX 79107 | 2011-10-11 |
| 1477735322 | Timothy John Revell | Emergency Medicine | 9601 Spur 591, Amarillo, TX 79107 | 2007-12-03 |
| 1851309280 | John Michael Archer | Dentist | 1900 Coulter Road, Suite G, Amarillo, TX 79107-1732 | 2006-08-03 |
| 1386067593 | Amber Leigh Roth | Nurse Practitioner | 1411 East Amarillo Blvd, Amarillo, TX 79107-1770 | 2014-01-23 |
| Find all providers in zip 79107 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251484 | Paul James Priebe | Pharmacist | 1600 S Coulter St Ste 307, Amarillo, TX 79106-1774 | 2020-10-04 |
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1073136099 | Julie Holt | Pharmacist | 1600 S Fm 2381, Amarillo, TX 79124-1900 | 2020-05-26 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1184277980 | Judy A Gill | Pharmacist | 14101 Tangle Aire Pt, Amarillo, TX 79118-3865 | 2019-07-20 |
| 1467005314 | James H Miller | Pharmacist | 8308 Pomona Dr, Amarillo, TX 79110-4640 | 2019-07-19 |
| 1982077038 | Bernard Ochieng Abiero | Pharmacist | 4400 Bell St Apt 304c, Amarillo, TX 79109-5258 | 2015-11-10 |
| 1699168401 | Jacob Tse Yang | Pharmacist | 8304 Hamilton Dr, Amarillo, TX 79119-4400 | 2015-03-18 |
| 1346639069 | Richard K. Waide | Pharmacist | 4400 Rm 1061, Amarillo, TX 79124-4716 | 2015-01-19 |
| 1912313545 | Leigh Anselmo | Pharmacist | 1801 Steeplechase Dr Apt 608, Amarillo, TX 79106-1928 | 2014-07-02 |
| Find all providers in AMARILLO | ||||
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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.