Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578811006 Individual Practitioner Male Practitioner

Walter Frederick Raddatz , PHARMACIST

Pharmacist • Payson, AZ

Professional Overview & Biography Verified Profile Summary

Walter Raddatz, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Payson, AZ. Practice services are available at 142 E ST HWY 260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 E St Hwy 260

Payson, AZ 855414948

Telephone 9284747039
Associated Practice Facility / Clinic
🏢 Raley's Arizona Llc Facility NPI 1972684181

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Payson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Payson, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ 7255

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CA 35646

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.

Secondary Practice Locations

18411 N Cave Creek Rd

Phoenix, AZ 850321099

Phone: 6024947424

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1003858218

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pharmacist (License #35646 in CA)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 142 E ST HWY 260, PAYSON, AZ 855414948 (Tel: 9284747039)

📍
Updated Business Mailing Address October 03, 2017

Registered at 142 E. HIGHWAY 260, PAYSON, AZ 85541 (Tel: (928) 474-7039)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as WALTER RADDATZ, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Pharmacist (License #35646 in CA)

NPI Profile Active August 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2012

Registered at 18411 N CAVE CREEK RD, PHOENIX, AZ 850321099 (Tel: 6024947424)

📍
Updated Business Mailing Address August 15, 2012

Registered at 18411 N CAVE CREEK RD, PHOENIX, AZ 850321099 (Tel: 6024947424)

👤
Provider Name / Credentials Updated August 15, 2012

Recorded as WALTER RADDATZ, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2012

Pharmacist (License #7255 in AZ)

🟢
Initial NPI Registration & Enumeration August 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1578811006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2012
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

142 E. Highway 260

Payson, AZ 85541

Phone: 9284747039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.