WALMART INC. (NPI# 1407056211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407056211 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-4412 |
| Practice Address |
101 Bernhardt Rd Laurel MT 59044-8702 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-6209 |
| Practice Telephone | 4066281762 |
| Enumeration Date | 2007-07-19 |
| 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 |
1233 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1407056211 | 05 | |
| PK | 2052653 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-4412 | 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 |
| Street Address |
101 BERNHARDT RD |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-8702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309579 | Joshua Warner | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2019-07-28 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1962811505 | Jeffrey Rodeghiero | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2014-08-07 |
| 1982013785 | Thomas Schroeder | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2014-08-05 |
| 1225321243 | Dr. Gary A. White, Optometrist, PC | Optometrist | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2011-05-24 |
| 1013152834 | Total Eyecare P.C. | Optometrist | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2008-12-08 |
| 1477734309 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 101 Bernhardt Rd, Laurel, MT 59044-8702 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
| 1376177675 | Justin Cabrera | Occupational Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2020-02-25 |
| Find all providers in zip 59044 | ||||
| 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 |
|---|---|---|---|---|
| 1649763970 | Stacey Pariseault | Pharmacy | 8452 Early Bud Way, Laurel, MD 20723-1083 | 2018-06-12 |
| 1801205505 | Harris Teeter LLC | Pharmacy | 14702 Baltimore Ave, Laurel, MD 20707-4816 | 2014-08-06 |
| 1740537307 | Walgreen Co | Pharmacy | 600 Washington Blvd S, Laurel, MD 20707-4636 | 2012-08-13 |
| 1255474102 | Thirteenth Avenue Pharmacy | Pharmacy | 216 S 13th Ave, Laurel, MS 39440-4226 | 2007-02-14 |
| 1497855837 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 501 N 16th Ave, Laurel, MS 39440 | 2006-09-25 |
| 1821010570 | Maryland Cvs Pharmacy LLC | Pharmacy | 3343 Corridor Marketplace, Laurel, MD 20724-2378 | 2006-07-24 |
| 1609896513 | Walgreen Co. | Pharmacy | 30182 Sussex Hwy Unit 1, Laurel, DE 19956-3884 | 2006-07-20 |
| 1699708263 | Metcare Rx Laurel, LLC | Pharmacy | 7419 Van Dusen Rd, Laurel, MD 20707-6400 | 2006-07-08 |
| 1619428240 | Cvs | Pharmacy | 15100 Baltimore Ave, Laurel, MD 20707-4602 | 2016-10-19 |
| 1720531445 | Cvs | Pharmacy | 307 Se 4th St, Laurel, MT 59044-3324 | 2016-07-29 |
| Find all providers in LAUREL | ||||
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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.