NIKKI RED WALTERS
NPI 1669636023
Pharmacist in Ellisville, MS

Active since July 15, 2008
122 S FRONT ST, ELLISVILLE, MS 39437(601) 477-8587(601) 477-3222 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikki Red Walters NPPES

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

NIKKI RED WALTERS (NPI 1669636023) is an individual pharmacist in Ellisville, Mississippi, licensed in Mississippi (E-03592) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1669636023
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameNIKKI RED WALTERS
Location Address122 S FRONT STEllisville, MS 39437-3118
Mailing Address122 S Front StEllisville, MS 39437-3118 · (601) 477-8587 · Fax (601) 477-3222
Fax(601) 477-3222
Sole ProprietorYes
Enumeration DateJuly 15, 2008
NPI 1669636023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MS · E-03592 Licensed in MS · 0013/01.1
Definition
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.
122 S FRONT ST, Ellisville, MS 39437

Other Identifiers 1

Medicaid00330679MS

Other Providers at the Same Location NPPES 2

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

Pharmacy
122 S FRONT ST
ELLISVILLE, MS 39437
Pharmacy (Community/Retail Pharmacy)
122 S FRONT ST
ELLISVILLE, MS 39437

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 Nikki Walters's NPI number?

The NPI number for Nikki Walters is 1669636023. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Nikki Walters located?

Nikki Walters practices at 122 S Front St, Ellisville, MS 39437. The listed phone number is (601) 477-8587.

What is Nikki Walters's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Nikki Walters was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.