WALMART INC. (NPI# 1487836110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487836110 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-4321 |
| Practice Address |
5475 N Meridian Ave Wichita KS 67204-1620 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3168319057 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2007-12-05 |
| 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 |
210169 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100432800N | 05 | |
| PK | 2027825 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-4321 | 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 |
5475 N MERIDIAN AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67204-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083152540 | Ray Tejeda | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2017-02-05 |
| 1265989305 | Sanjiv Patel | Pharmacist | 5475 N Meridian Ave, Wichita, KS 67204-1620 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952570657 | Wal-mart Store, Inc. | Eyewear Supplier (Equipment, not the service) | 5475 N. Meridian, Wichita, KS 67204 | 2008-02-27 |
| 1992907141 | Diane Jeanette Casey | Physical Therapist | 2812 W 61 St N, Rehab & Consulting Pa, Wichita, KS 67204 | 2007-06-01 |
| 1477534030 | Yvonne Lara Saunders-teigeler | Family Medicine | 3443 North Amidon Avenue, Wichita, KS 67204 | 2005-11-10 |
| 1962618041 | Laquita Riley | Physical Therapist | 5701 N Sedgwick St, Wichita, KS 67204-1831 | 2007-05-15 |
| 1417276791 | House Call Medical Services | Nurse Practitioner | 5721 N Athenian Ave, Wichita, KS 67204-1844 | 2010-05-25 |
| 1710008495 | Home Care Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 703 W 53rd St N, Wichita, KS 67204-2237 | 2007-04-02 |
| 1962903906 | Nalini Fraser | Pharmacist | 2806 W Driftwood Cir, Wichita, KS 67204-2340 | 2018-02-26 |
| 1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
| 1073666236 | National Imaging, Ltd | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2007-01-19 |
| 1962441782 | Harold William Collier | Anesthesiology | 4907 Portwest Cir, Wichita, KS 67204-2362 | 2006-06-06 |
| Find all providers in zip 67204 | ||||
| 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 |
|---|---|---|---|---|
| 1174132161 | Ascension Via Christi Hospitals Wichita Inc. | Pharmacy | 3600 E Harry St Rm 2001, Wichita, KS 67218-3713 | 2020-07-27 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| 1548737182 | West Wichita Family Pharmacy LLC | Pharmacy | 8200 W Central Ave Ste 5, Wichita, KS 67212-3661 | 2018-11-01 |
| 1629588454 | Neighborhood Pharmacy 0002 LLC | Pharmacy | 328 E Pawnee St, Wichita, KS 67211-4847 | 2017-10-06 |
| 1548711484 | Wal-mart Pharmacy | Pharmacy | 2200 S Rock Rd, Apartment 1014, Wichita, KS 67207-5300 | 2016-10-15 |
| 1245623677 | Costco Wholesale Corporation | Pharmacy | 9700 E. Kellogg, Wichita, KS 67207 | 2015-03-10 |
| 1184967804 | Davis Family Pharmacy, LLC | Pharmacy | 2131 N Ridge Rd Ste 103, Wichita, KS 67212-1571 | 2013-04-01 |
| 1447578216 | Kwik Shop Inc | Pharmacy | 7107 W 37th St N, Wichita, KS 67205-9360 | 2010-05-04 |
| 1710002811 | Hac Inc | Pharmacy | 1910 W 21st St N, Wichita, KS 67203-2105 | 2007-03-20 |
| 1013072289 | Rcr East, LLC | Pharmacy | 2350 N Greenwich Rd, Suite 1000, Wichita, KS 67226-8269 | 2006-12-27 |
| Find all providers in WICHITA | ||||
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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.