{"npi":"1124176136","type":"NPI-2","status":"active","name":{"display":"Walters Pharmacy INC","other":[],"organization_name":"WALTERS PHARMACY INC","authorised_official":"Michael Koehn"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"TX","license":"05941"}]},"addresses":[{"purpose":"LOCATION","street_1":"250 W PALM ST","city":"BELLVILLE","state":"TX","postal_code":"774181361","country_code":"US","phone":"9798653696","fax":"9798653697"},{"purpose":"MAILING","street_1":"250 W PALM ST","city":"BELLVILLE","state":"TX","postal_code":"774181361","country_code":"US","phone":"9798653696","fax":"9798653697"}],"license":{"state":"TX","number":"05941"},"identifiers":[{"type_code":"01","label":"Other","value":"2099889","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"142084","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170905001443","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"TX","pac_id":"5092835967"}]},"enumeration_date":"2007-01-08","last_updated":"2014-11-04","_meta":{"source":"NPPES","snapshot_date":"2014-11-04","doc_url":"https://findmynpi.com/api"}}