WALMART INC. (NPI# 1033555396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033555396 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-5606 |
| Practice Address |
1250 E Gibson Rd Woodland CA 95776-6315 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5306654309 |
| Practice Fax Number | 5306654310 |
| Mailing Telephone | 4792048741 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51291 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140391 | 01 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-5606 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336661461 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8270 Delta Shores Cir S, Sacramento, CA 95832-9101 | 2017-07-11 |
| 1710407895 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 6973 Blue Diamond Rd, Las Vegas, NV 89178-9213 | 2017-06-21 |
| 1295265072 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 44100 Jefferson St Ste F, Indio, CA 92201-2715 | 2017-06-14 |
| 1528594983 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 898 S 2550 E, Spanish Fork, UT 84660 | 2017-05-04 |
| 1922533082 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9600 N Metro Pkwy W, Phoenix, AZ 85051-1402 | 2017-04-26 |
| 1730612425 | Walmart Inc. | Pharmacy | 9400 Ralston Rd, Arvada, CO 80002-2004 | 2017-04-10 |
| 1730628728 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5210 S Highway 95, Fort Mohave, AZ 86426-9223 | 2017-02-23 |
| 1881132926 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 875 E H St, Chula Vista, CA 91910-7807 | 2017-02-09 |
| 1104364157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 831 E Fort Lowell Rd, Tucson, AZ 85719-2109 | 2017-02-09 |
| 1588109797 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5320 10th Ave S, Great Falls, MT 59405-5633 | 2016-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WALMART INC | 708 Sw 8th Street, Bentonville, AR 72716 |
| Colorado Business Entities | Walmart Inc. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Iowa Business Entities | WALMART INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| New York State Corporations | WALMART INC. | 28 Liberty Street, New York, New York 10005 |
| Virginia Business Entities | Walmart Inc. | 702 Sw 8th St, Bentonville, Arkansas 72716-6209 |
| Street Address |
1250 E GIBSON RD |
| City | WOODLAND |
| State | CA |
| Zip Code | 95776-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229132 | Chuong Duong | Pharmacist | 1250 E Gibson Rd, Woodland, CA 95776-6315 | 2020-09-14 |
| 1316399710 | Nathalie Duong | Pharmacist | 1250 E Gibson Rd, Woodland, CA 95776-6315 | 2016-07-08 |
| 1700236627 | Lydia Arredondo Winter | Pharmacist | 1250 E Gibson Rd, Woodland, CA 95776-6315 | 2016-06-21 |
| 1992114045 | Carlo Enrico Crisologo | Pharmacist | 1250 E Gibson Rd, Woodland, CA 95776-6315 | 2014-08-02 |
| 1952710089 | John Quyen Trang | Pharmacist | 1250 E Gibson Rd, Woodland, CA 95776-6315 | 2014-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
| 1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
| 1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
| 1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
| 1730348764 | Woodland Residential Services | Nursing Facility/Intermediate Care Facility | 40145 Best Ranch Road, Woodland, CA 95776 | 2008-06-05 |
| 1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
| Find all providers in zip 95776 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402237 | Woodland Care Pharmacy & Medical Supply LLC | Pharmacy | 672 Cottonwood St, Woodland, CA 95695-3615 | 2020-06-20 |
| 1518505130 | Smartscripts, Inc | Pharmacy | 825 East St Ste 107, Woodland, CA 95776-4980 | 2019-12-13 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1801906565 | Raleys | Pharmacy | 367 West Main St, Woodland, CA 95695-3600 | 2006-08-30 |
| 1184734865 | Bel Air Market Inc | Pharmacy | 1885 East Gibson Road, Woodland, CA 95776-5163 | 2006-08-30 |
| 1275592651 | Hi School Pharmacy Inc | Pharmacy | 1365 Lewis River Rd, Woodland, WA 98674-9692 | 2006-03-22 |
| 1699233114 | Youngs Drug Store LLC | Pharmacy | 24460 Highway 48, Woodland, AL 36280-5204 | 2019-03-04 |
| 1093830994 | Dignity Health | Pharmacy | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2007-03-20 |
| 1922013218 | Walgreen Co | Pharmacy | 10 W Main St, Woodland, CA 95695-3016 | 2006-07-29 |
| Find all providers in WOODLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.