WALMART INC. (NPI# 1427113497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427113497 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-3350 |
| Practice Address |
5198 Boulder Hwy Las Vegas NV 89122-6002 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0445 |
| Practice Telephone | 7024341915 |
| Enumeration Date | 2006-12-27 |
| 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 |
PH02216 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2052210 | 01 | |
| NV | 1427113497 | 05 | |
| NV | 100511308 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3350 | 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 |
5198 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89122-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790840692 | Wal-mart Stores, Inc. | Technician/Technologist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2006-12-22 |
| 1811597396 | Adebola Durosawo | Pharmacist | 5198 Boulder Hwy, Las Vegas, NV 89122-6002 | 2020-10-26 |
| 1780808105 | Peter Park | Optometrist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2007-04-13 |
| 1235280215 | Kerry's Medical Inc | Durable Medical Equipment & Medical Supplies | 5198 Boulder Hwy, Suite #5, Las Vegas, NV 89122-6002 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425523 | Dezirae Wilson | Technician | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | 2020-04-14 |
| 1407312366 | More Than Words LLC | Speech-Language Pathologist | 3430 Blue Ash Lane, Las Vegas, NV 89122 | 2019-02-15 |
| 1588130751 | Leslie Totress | Case Manager/Care Coordinator | 6368 Foxlyn Ave, Las Vegas, NV 89122 | 2018-10-15 |
| 1780100511 | Easy Living Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5069 Sun Valley Dr, Las Vegas, NV 89122 | 2017-08-14 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1972032233 | Marilan Sanchez | Rehabilitation Practitioner | 5210 Emelita St, Las Vegas, NV 89122 | 2017-06-08 |
| 1023479599 | Tia Collins | Social Worker | 5412 Boulder Highway, Las Vegas, NV 89122 | 2016-03-11 |
| 1548673056 | Saba Chatoor | Counselor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | 2014-06-03 |
| 1811328685 | Derrell Williams | Counselor | 3326 Wasatch Cedars St., Las Vegas, NV 89122 | 2013-12-04 |
| 1225466709 | The Lighthouse LLC | Community/Behavioral Health | 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 | 2013-10-22 |
| Find all providers in zip 89122 | ||||
| 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 |
|---|---|---|---|---|
| 1205442928 | Plus One Pharmacy, LLC | Pharmacy | 6545 S Fort Apache Rd Ste 140, Las Vegas, NV 89148-6758 | 2020-09-17 |
| 1790308880 | Capsule Las Vegas LLC | Pharmacy | 801 S Rancho Dr Ste A4, Las Vegas, NV 89106-3870 | 2020-05-22 |
| 1417596511 | Caremark L.L.C. | Pharmacy | 7251 S Eastern Ave, Las Vegas, NV 89119-4507 | 2020-01-06 |
| 1609411610 | Credo Pharmacy LLC | Pharmacy | 8995 W Flamingo Rd Ste 120, Las Vegas, NV 89147-0441 | 2019-11-13 |
| 1629637129 | Modern Rx | Pharmacy | 6330 S Eastern Ave Ste 1a, Las Vegas, NV 89119-3168 | 2019-06-07 |
| 1750947677 | Southwest Specialty Pharmacy LLC | Pharmacy | 8170 S Eastern Ave Ste 10, Las Vegas, NV 89123-2578 | 2019-05-16 |
| 1447728373 | Goodwill Pharmacy Inc | Pharmacy | 6725 S Eastern Ave Ste 7, Las Vegas, NV 89119-3949 | 2018-11-08 |
| 1699240697 | Silver State Pharmacy LLC | Pharmacy | 1591 N Buffalo Dr Ste 140, Las Vegas, NV 89128-3632 | 2018-10-05 |
| 1275019770 | Guadalupe Pharmacy Inc. | Pharmacy | 3827 E Sunset Rd Ste L, Las Vegas, NV 89120-3900 | 2018-07-17 |
| 1629569892 | Sahara Limited Group LLC. | Pharmacy | 6125 W Sahara Ave Ste 1a, Las Vegas, NV 89146-3002 | 2018-05-23 |
| Find all providers in LAS VEGAS | ||||
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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.