WALMART INC. (NPI# 1215360730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215360730 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-3151 |
| Practice Address |
5018 Ames Ave Omaha NE 68104-2323 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4029709304 |
| Practice Fax Number | 4024534921 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-08-20 |
| 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 |
3005 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2142229 | 01 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-3151 | 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 |
5018 AMES AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68104-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660580 | Wakan Path, LLC | Optometrist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2018-08-28 |
| 1215425624 | Elizabeth Dawn Zmudzinski | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2018-05-01 |
| 1922595065 | Kale Breinig | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2018-04-14 |
| 1104361054 | Angela C Perez | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2017-01-02 |
| 1023446200 | Wal-mart Stores, Inc | Technician/Technologist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859698 | Sbevington's Mental Health Therapy | Counselor | 5519northwest Radial Highway, 5519northwest Radial Highway Suite3, Omaha, NE 68104 | 2018-01-22 |
| 1679923049 | Kimberly Anne Mueller | Counselor | 6107 Maple Street, Suite B, Omaha, NE 68104 | 2016-06-16 |
| 1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
| 1437439668 | Sandra Bojanski | Occupational Therapy Assistant | 4809 Redman Ave., Omaha, NE 68104 | 2011-08-19 |
| 1821304825 | Benson Community Health Center | Clinic/Center | 5420 N.rth West Radial Highway, Omaha, NE 68104 | 2010-08-27 |
| 1861723736 | William Lee Wolaver | Occupational Therapy Assistant | 2414 N 60th St, Omaha, NE 68104 | 2010-01-16 |
| 1205057718 | David John Millea | Dentist | 2746 No 63rd St, Omaha, NE 68104 | 2007-05-01 |
| 1558410829 | Catherine Y Cook | Counselor | 3525 Evans Street, Omaha, NE 68104 | 2007-01-09 |
| 1629143052 | Paula Ann Moritz | Counselor | 3300 No 60th St, Omaha, NE 68104 | 2006-11-21 |
| 1366538597 | Marla Jo Kosse | Physical Therapy Assistant | 4101 Woolworth Avenue, Omaha, NE 68104 | 2006-10-05 |
| Find all providers in zip 68104 | ||||
| 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 |
|---|---|---|---|---|
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1568704948 | Jsk Drug LLC | Pharmacy | 11722 Stonegate Cir, Omaha, NE 68164-3692 | 2013-03-22 |
| 1164763470 | Midwest Surgical Hosptial, LLC. | Pharmacy | 7915 Farnam Dr, Omaha, NE 68114-4504 | 2013-03-12 |
| 1427397322 | Stonybrook Pharmacy LLC | Pharmacy | 13921 S Plz, Omaha, NE 68137-2916 | 2013-02-12 |
| 1710206768 | Nf Foods LLC | Pharmacy | 1221 S 203rd St, Omaha, NE 68130-2808 | 2010-05-28 |
| 1326295478 | Rockbrook Health Mart Pharmacy | Pharmacy | 10913 Prairie Brook Rd, Omaha, NE 68144-4828 | 2008-08-20 |
| 1124211206 | Costco Wholesale Corporation | Pharmacy | 12300 W Dodge Rd, Omaha, NE 68154 | 2007-08-22 |
| 1932242609 | No Frills Pharmacy LLC | Pharmacy | 8005 Blondo St, Omaha, NE 68134-6664 | 2007-02-14 |
| 1013050780 | No Frills Pharmacy LLC | Pharmacy | 820 N Saddle Creek Rd, Omaha, NE 68132-2520 | 2007-02-14 |
| 1194866582 | Keystone Wholesale Co | Pharmacy | 7328 Maple St, Omaha, NE 68134-6829 | 2007-02-09 |
| Find all providers in OMAHA | ||||
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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.