Active NPIIndividual provider

Shane C Walter

Pharmacist in Eatontown, New Jersey

NPI Number1568065050
Practice location
130 Highway 35, Eatontown, NJ 07724-1814
Fax
—
Last updated
November 18, 2020

Shane C Walter is a Pharmacist based in Eatontown, NJ. Shane C Walter practices in Eatontown, NJ. The NPI Number for Shane C Walter is 1568065050 and holds a License No. 28RI03884100 (NJ). The current practice location address for Shane C Walter is 130 Highway 35, Eatontown, NJ 07724-1814 and can be reached out via phone at 732-542-7333.

Provider Profile Details

NPI Number
1568065050
Provider Name
Shane C Walter
Provider Entity Type
Individual
Gender
Male
Address
130 Highway 35, Eatontown, NJ 07724-1814
Phone Number
732-542-7333
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2020
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Highway 35
Eatontown, NJ 07724-1814
Zip
07724-1814
Phone Number
732-542-7333
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
15 Wilson Cir W
Red Bank, NJ 07701-5831
City
Red Bank
State
NJ
Zip
07701-5831
Phone Number
419-953-1244

License Information

License Number
28RI03884100
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pharmacists near Eatontown, NJ

View all Pharmacists in Eatontown →

Frequently Asked Questions

What is the NPI number of Shane C Walter?

The NPI number of Shane C Walter is 1568065050. It was assigned on November 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Shane C Walter?

Shane C Walter is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03884100.

Where does Shane C Walter practice?

The practice location is 130 Highway 35, Eatontown, NJ 07724-1814. The office can be reached at 732-542-7333 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568065050 directly on the NPPES registry website.

Browse related providers