Healthcare Provider Details

I. General information

NPI: 1124561782
Provider Name (Legal Business Name): WALKER BRAINARD PHARM. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9983 WADSWORTH PKWY
WESTMINSTER CO
80021-4249
US

IV. Provider business mailing address

9983 WADSWORTH PKWY
WESTMINSTER CO
80021-4249
US

V. Phone/Fax

Practice location:
  • Phone: 303-424-7346
  • Fax: 303-467-5658
Mailing address:
  • Phone: 303-761-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17025
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA21533
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: