Healthcare Provider Details

I. General information

NPI: 1568491124
Provider Name (Legal Business Name): WALNUT HOME THERAPEUTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HORIZON DR
KING OF PRUSSIA PA
19406-2659
US

IV. Provider business mailing address

3500 HORIZON DR
KING OF PRUSSIA PA
19406-2659
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-5200
  • Fax:
Mailing address:
  • Phone: 215-955-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberPP414792-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP414792-L
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPP414792-L
License Number StatePA

VIII. Authorized Official

Name: DIXIEANNE JAMES
Title or Position: BOARD OF DIRECTORS PRESIDENT
Credential:
Phone: 215-456-5361