Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104604503 Individual Practitioner Female Practitioner

Mo Walts

Pharmacy Technician • Vestal, NY

Professional Overview & Biography Verified Profile Summary

Mo Walts is a registered healthcare professional specializing in Pharmacy Technician in Vestal, NY. Practice services are available at 100 RANO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Rano Blvd

Vestal, NY 138502776

Telephone 6077638712
Associated Practice Facility / Clinic
🏢 Weis Markets Inc Facility NPI 1386974293

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Vestal, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Vestal, NY (302 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

CMS Verified: 2023-09-18
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License NY 20-102791

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1093443061

Doctor of Pharmacy (Pharm.D.)

NPI 1134849664

Doctor of Pharmacy (Pharm.D.)

Jamie Walck

Mastectomy Fitter

NPI 1336805159
Jordan Major

Pharmacist

NPI 1457172835

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2023

Registered at 100 RANO BLVD, VESTAL, NY 138502776 (Tel: 6077638712)

📍
Updated Business Mailing Address September 18, 2023

Registered at 3606 PARTI DR, CORTLAND, NY 130458828 (Tel: 6077457752)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as MO WALTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Pharmacy Technician (License #20-102791 in NY)

🟢
Initial NPI Registration & Enumeration September 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104604503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

3606 Parti Dr

Cortland, NY 130458828

Phone: 6077457752

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.