IndividualActive
Mo Walts
NPI 1104604503 · Pharmacy Technician · Vestal, NY
Mo Walts is a Pharmacy Technician provider in Vestal, NY (NPI 1104604503).
Provider details
- NPI number
- 1104604503
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20-102791 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Rano Blvd
Vestal, NY 13850-2776
Phone: (607) 763-8712
Street-level locationGet directions
Mailing address
3606 Parti Dr
Cortland, NY 13045-8828
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Frequently asked questions
- What is Mo Walts's NPI number?
- Mo Walts's National Provider Identifier (NPI) is 1104604503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mo Walts's specialty?
- Mo Walts is listed in the NPPES registry with a primary specialty of Pharmacy Technician (Pharmacy Service Providers).
- Where is Mo Walts located?
- Mo Walts's practice location on file with NPPES is 100 Rano Blvd, Vestal, NY 13850-2776.
- What is Mo Walts's phone number?
- The practice phone number listed in the NPPES registry for Mo Walts is (607) 763-8712.
- Is Mo Walts's NPI active?
- Yes — Mo Walts's NPI (1104604503) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.