Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043544331 Individual Practitioner Female Practitioner

Dr. Keri Noel Sullivan-Walker , PharmD

Pharmacist • Moscow, ID

Professional Overview & Biography Verified Profile Summary

Dr. Keri Sullivan-Walker, PharmD is a registered healthcare professional specializing in Pharmacist in Moscow, ID. Practice services are available at 803 S MAIN ST STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

803 S Main St Ste 120

Moscow, ID 838432695

Telephone 2088488300
Fax 2088488304
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moscow, ID

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

Practicing in Moscow, ID (1793 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: 2022-03-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P6287

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 WA PH6009072

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Veronica Mundell , LCSW

Social Worker - Clinical

NPI 1043859515

Licensed Clinical Social Worker

James Hebrlee , PA-C

Physician Assistant - Medical

NPI 1063752756

Physician Assistant (Certified)

Spencer Godfrey

Nurse Practitioner

NPI 1073062295
Carmen Koepl

Dental Hygienist

NPI 1073095501
Dr. Matthew Rice , DO

Family Medicine

NPI 1073614160

Doctor of Osteopathic Medicine (D.O.)

Tracy Flynn , FNP, NP-C

Nurse Practitioner

NPI 1073983748

Family Nurse Practitioner, Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 30, 2022

Registered at 803 S MAIN ST STE 120, MOSCOW, ID 838432695 (Tel: 2088488300)

📍
Updated Business Mailing Address March 30, 2022

Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)

NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2012

Registered at 338 6TH ST STE 101, LEWISTON, ID 835012419 (Tel: 2088488300)

📍
Updated Business Mailing Address December 17, 2012

Registered at 203 N WASHINGTON ST STE 300, SPOKANE, WA 992010254 (Tel: 5094448888)

👤
Provider Name / Credentials Updated December 17, 2012

Recorded as KERI SULLIVAN-WALKER, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Pharmacist (License #P6287 in ID)

🟢
Initial NPI Registration & Enumeration September 20, 2009

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: 1043544331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2009
Last Update: March 30, 2022
Sole Proprietor: Yes

Mailing Address

611 N Iron Bridge Way

Spokane, WA 992024932

Phone: 5094448888

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.