WALMART INC. (NPI# 1164449377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164449377 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-1364 |
| Practice Address |
5695 Highway 95 N Lake Havasu City AZ 86404-9646 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9284538515 |
| Enumeration Date | 2006-07-16 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y004970 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 306838 | 05 | |
| AZ | 186726 | 05 | |
| PK | 1989007 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1364 | 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 |
5695 HIGHWAY 95 N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404-9646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472604 | Lauren Skorheim | Pharmacist | 5695 Highway 95 N, Lake Havasu City, AZ 86404-9646 | 2019-02-07 |
| 1619356680 | Timothy A Youso | Pharmacist | 5695 Highway 95 N, Lake Havasu City, AZ 86404-9646 | 2015-05-23 |
| 1508275561 | Elizabeth Novelen | Pharmacist | 5695 Highway 95 N, Lake Havasu City, AZ 86404-9646 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| Find all providers in zip 86404 | ||||
| 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 |
|---|---|---|---|---|
| 1851857270 | Bridge Medical Services LLC | Pharmacy | 1955 Mcculloch Blvd N # 100, Lake Havasu City, AZ 86403-5739 | 2019-02-11 |
| 1609386119 | Lakeside Pharmacy LLC | Pharmacy | 1960 Mesquite Ave Ste E, Lake Havasu City, AZ 86403-5783 | 2017-10-10 |
| 1811939309 | Bashas' Inc. | Pharmacy | 1831 Kiowa Ave Ste 100, Lake Havasu City, AZ 86403-2461 | 2006-06-11 |
| 1164511481 | Liska's Apothecary Shop, Inc. | Pharmacy | 1840 Mesquite Ave, Suite E., Lake Havasu City, AZ 86403-5771 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
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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.