Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walter Ballard Beaven

Individual provider Pharmacist · NPI 1336765684

Walter Ballard Beaven is a Pharmacist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
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Practice location Address checks out

12611 Taylorsville Rd
Louisville, KY 40299-4452
Phone: (502) 261-7042
Fax: (502) 266-2616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9049 (KY)

Record details

NPI number1336765684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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