WALMART INC. (NPI# 1518984616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518984616 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Practice Address |
1601 Cornhusker Dr South Sioux City NE 68776-3924 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4024948850 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-02-28 |
| 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 |
2723 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055100 | 01 |
| 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 |
1601 CORNHUSKER DR |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip Code | 68776-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777221 | Laura J Slowey | Optometrist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2006-02-02 |
| 1902303977 | Mathew William Macziewski | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2018-04-06 |
| 1093222150 | Jamie Thoene | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2018-01-10 |
| 1215443478 | Kristin Rumsey | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2017-12-22 |
| 1316452485 | Tammy J Cox | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2017-12-11 |
| 1114205788 | Tri State Vision Care, Prof LLC | Optometrist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704251 | Integrated Diagnostics | Pathology | 201 East 4th Street, Suite 203, South Sioux City, NE 68776 | 2019-08-08 |
| 1003374711 | Riverview Surgical Center LLC | Clinic/Center | 201 E 4th Street, South Sioux City, NE 68776 | 2019-03-12 |
| 1144777665 | Emily Malchow | Speech-Language Pathologist | 820 E. 29th St., South Sioux City, NE 68776 | 2016-09-01 |
| 1477856011 | Hospice of Siouxland | Hospice Care, Community Based | 3220 Plaza Dr Ste D, South Sioux City, NE 68776 | 2010-12-20 |
| 1114101839 | Stacy Erin Rose | Counselor | 100 West 29th St, Suite 319, South Sioux, NE 68776 | 2007-12-18 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1689750937 | Elizabeth Joan Munch | Dentist | 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 | 2006-10-30 |
| 1841376191 | Douglas M. Barr | Dentist | 3220 Plaza Drive Ste B, So Sioux City, NE 68776 | 2006-10-30 |
| 1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
| 1316049752 | Redlers Prof Phcy Inc | Durable Medical Equipment & Medical Supplies | 1010 W 29th St, Ste 214, South Sioux City, NE 68776 | 2006-09-05 |
| Find all providers in zip 68776 | ||||
| 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] |
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| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1699191734 | Arborpharm, LLC | Pharmacy | 203 S 7th St, Ste B, Wymore, NE 68466 | 2014-03-13 |
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
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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.