KEITH THOMAS WALSH (NPI# 1295160521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295160521 |
| Entity Type | Individual |
| Full Name | KEITH THOMAS WALSH |
| Credential | PHARM.D. |
| Practice Address |
4747 S Highway 95 Fort Mohave AZ 86426-9377 |
| Practice Telephone | 9283303704 |
| Practice Fax Number | 9283303707 |
| Mailing Telephone | 9283303704 |
| Mailing Fax Number | 9283303707 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S019853 | AZ | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
S019853 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841417607 | Keith P Walsh | Audiologist | 356 Mountain View Dr Ste 101, Colchester, VT 05446-5986 | 2007-04-20 |
| Street Address |
4747 S HIGHWAY 95 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255496535 | Shirley Pauline Peer | Pharmacist | 4747 S Highway 95, Smith's Food and Drug Stores Ltd, Fort Mohave, AZ 86426-9377 | 2006-12-27 |
| 1265747273 | Angela Weiss | Pharmacist | 4747 S Highway 95, Fort Mohave, AZ 86426-9377 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169563 | Nosayawe Edokpayi | Pharmacist | Indian Health Service/ Hopi Health Care Center, Highway 264 Mile Post 388, Polacca, AZ 86042-4000 | 2020-09-23 |
| 1922639905 | Lana Druzhinin Bohon | Pharmacist | 5249 E Shea Blvd Unit 208, Scottsdale, AZ 85254-5739 | 2020-01-29 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1629557855 | Jeffrey Gubernick | Pharmacist | 7305 E Visao Dr, Scottsdale, AZ 85266-2707 | 2018-08-08 |
| 1730638214 | Tai Long Huynh | Pharmacist | 9950 W Via Del Sol, Peoria, AZ 85383-3323 | 2016-09-26 |
| 1487101028 | Marisol Ibarra | Pharmacist | 4802 N 12th St Apt 1086, Phoenix, AZ 85014-4098 | 2016-09-01 |
| 1679935332 | Tammy B Bird | Pharmacist | 617 W Havasupai Rd, Flagstaff, AZ 86001-1513 | 2016-03-22 |
| 1457719858 | John Randle House | Pharmacist | 3345 E Behrend Dr, Phoenix, AZ 85050-3983 | 2016-02-01 |
| 1306202791 | Michael Edward Roman | Pharmacist | 1240 N 40th Dr, Show Low, AZ 85901-3236 | 2016-01-14 |
| 1043688591 | Anna Montuori | Pharmacist | 14450 N Thompson Peak Pkwy Unit 120, Scottsdale, AZ 85260-7770 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.