OrganizationActive
Waltmoor Corp
NPI 1154479152 · Community/Retail Pharmacy · Middlesboro, KY
Waltmoor Corp is a Community/Retail Pharmacy organization in Middlesboro, KY (NPI 1154479152).
Provider details
- NPI number
- 1154479152
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Trent Walters, Owner(606) 248-8900
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3603 Cumberland Ave
Middlesboro, KY 40965-2613
Phone: (606) 248-8900
Fax: (606) 248-8901
Street-level locationGet directions
Mailing address
3603 Cumberland Ave
Middlesboro, KY 40965-2613
Other names (DBA / former)
- Doing business as
- Walters Pharmacy Shoppe
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2010-04-01
Frequently asked questions
- What is Waltmoor Corp's NPI number?
- Waltmoor Corp's National Provider Identifier (NPI) is 1154479152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waltmoor Corp?
- Waltmoor Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Waltmoor Corp located?
- Waltmoor Corp's practice location on file with NPPES is 3603 Cumberland Ave, Middlesboro, KY 40965-2613.
- What is Waltmoor Corp's phone number?
- The practice phone number listed in the NPPES registry for Waltmoor Corp is (606) 248-8900.
- Who is the authorized official for Waltmoor Corp?
- The authorized official listed on Waltmoor Corp's NPPES record is Trent Walters, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waltmoor Corp's NPI active?
- Yes — Waltmoor Corp's NPI (1154479152) is active in the NPPES registry as of the last update on 2010-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.