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MO WALTS
NPI 1104604503
Pharmacy Technician in Vestal, NY

Active since September 18, 2023
100 RANO BLVD, VESTAL, NY 13850(607) 763-8712 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mo Walts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MO WALTS (NPI 1104604503) is an individual pharmacy technician in Vestal, New York, licensed in New York (20-102791) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1104604503
Entity TypeIndividualFemale
Primary Taxonomy183700000X
Provider Legal NameMO WALTS
Location Address100 RANO BLVDVestal, NY 13850-2776
Mailing Address3606 Parti DrCortland, NY 13045-8828 · (607) 745-7752
Phone(607) 763-8712
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1104604503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in NY · 20-102791
Definition
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.
100 RANO BLVD, Vestal, NY 13850
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Other Names 1

Former Name (1)Mollie Walts

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARRET DANIELS PHARMD
Pharmacist
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 798-8878
EVAN ROSS MILLER PHARMD
Pharmacist
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 798-8878
MADELINE ROSE MASTECTOMY BOUTIQUE, LLC
Durable Medical Equipment & Medical Supplies
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 296-2021
MRS. JAMIE LEIGH WALCK
Mastectomy Fitter
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 296-2021
WEIS MARKETS INC
Pharmacy (Community/Retail Pharmacy)
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 798-8878
JORDAN MAJOR
Pharmacist
100 RANO BLVD
VESTAL, NY 13850
Broome County (607) 798-8878
VALLEY OPTOMETRY PLLC
Optometrist
100 RANO BLVD
VESTAL, NY 13850
Broome County (801) 473-8607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mo Walts's NPI number?

The NPI number for Mo Walts is 1104604503. It was assigned to this individual provider in the NPPES registry on September 18, 2023. The provider is also known as Mollie Walts.

Where is Mo Walts located?

Mo Walts practices at 100 Rano Blvd, Vestal, NY 13850. The listed phone number is (607) 763-8712.

What is Mo Walts's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Mo Walts was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.