WALMART INC. (NPI# 1336661461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336661461 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-2464 |
| Practice Address |
8270 Delta Shores Cir S Sacramento CA 95832-9101 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9166651052 |
| Practice Fax Number | 9166651055 |
| Mailing Telephone | 4792582115 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DEB LAUVER (SPECIALIST PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792582115 |
| 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 |
PHY55800 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2171006 | 01 | |
| CA | 1336661461 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2464 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093163990 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 622 W Ustick Rd, Caldwell, ID 83605-6248 | 2016-06-01 |
| 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 |
| Street Address |
8270 DELTA SHORES CIR S |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95832-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164807319 | Alloise Jackson-riley | Counselor | 4343 Williamsbourgh Drive, Sacramento, CA 95832 | 2015-07-29 |
| 1780977710 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1420 Meadowview Rd, Sacramento, CA 95832-1008 | 2011-05-24 |
| 1710064852 | John Lundholm | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2006-11-01 |
| 1952586794 | Kiana Gipson | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-12-28 |
| 1598947723 | Shawn Williams | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-11-29 |
| 1447431911 | Steve Coleman | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-11-26 |
| 1922204379 | Tracy Davis Sims | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-06-22 |
| 1326243197 | Franscisco Jaquez | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-06-20 |
| 1306041181 | Scott Saville | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-06-20 |
| 1831394618 | Thomas Pearson IIi | Counselor | 7650 Amherst St, Sacramento, CA 95832-1024 | 2007-06-20 |
| Find all providers in zip 95832 | ||||
| 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 |
|---|---|---|---|---|
| 1811517535 | Natomas Pharmacy, Inc. | Pharmacy | 4321 Truxel Rd Ste F1, Sacramento, CA 95834-3753 | 2020-04-22 |
| 1124647011 | Innova Pharmacy II | Pharmacy | 3701 J St Ste 101, Sacramento, CA 95816-5542 | 2020-04-11 |
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1740820133 | Innova Pharmacy IIi | Pharmacy | 2400 Glendale Ln Ste A, Sacramento, CA 95825-2431 | 2020-01-14 |
| 1154962967 | Pillbox, Inc. | Pharmacy | 3941 J St Ste 130, Sacramento, CA 95819-3628 | 2019-10-02 |
| 1942869656 | Hoang Pharmacy Inc. | Pharmacy | 8701 Center Pkwy Ste 150, Sacramento, CA 95823-7920 | 2019-06-07 |
| 1104380252 | Ahcs Specialty Care LLC | Pharmacy | 1820 Tribute Rd Ste G, Sacramento, CA 95815-4307 | 2019-01-23 |
| 1689125403 | Xpress Care Pharmacy | Pharmacy | 4241 Florin Rd Ste 50a, Sacramento, CA 95823-2535 | 2016-10-17 |
| 1275987885 | Good Heart Pharmacists | Pharmacy | 1740 Fruitridge Rd # 104, Sacramento, CA 95822-3067 | 2016-04-20 |
| 1619273687 | Capitol Pharmacy Inc | Pharmacy | 4220 Florin Rd # 111, Sacramento, CA 95823-2508 | 2011-02-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95832 |
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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.