WALMART INC.


Address: 1530 W Highway 50, O Fallon, IL 62269-1619
Phone: 6186329381

WALMART INC. (NPI# 1518985027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518985027
Entity Type Organization
Organization Name WALMART INC.
Practice Address 1530 W Highway 50
O Fallon
IL 62269-1619
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 6186329381
Enumeration Date 2006-07-17
Last Update Date 2018-02-28
Authorized Official Name SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart N

Taxonomy

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
054009800 IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2020049 01

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1530 W HIGHWAY 50
City O FALLON
State IL
Zip Code 62269-1619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821698432 Allison Renee Schleeper Pharmacist 1530 W Highway 50, O Fallon, IL 62269-1619 2020-11-01
1124628946 Carol A Makarewicz Pharmacist 1530 W Highway 50, O Fallon, IL 62269-1657 2020-10-30
1649870874 Mallory Kay Kovarik Pharmacist 1530 W Highway 50, O Fallon, IL 62269-1657 2020-10-27
1790144343 Senayet Nigeda Pharmacist 1530 W Highway 50, Pharmacy, O Fallon, IL 62269-1619 2016-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760005219 Meta Pharmacy Solutions Pharmacy 108 Triad Ctr W, O Fallon, MO 63366-7541 2020-05-19
1376039149 Cardinal Pharmacy Pharmacy 108 Triad Ctr W # 108, O Fallon, MO 63366-7541 2018-07-05
1053476481 Aleman Enterprises Pharmacy 122 W State St, O Fallon, IL 62269-1161 2006-12-26
1285243972 O'fallon Pharmacy, LLC Pharmacy 108 Triad Ctr W, O Fallon, MO 63366-7541 2020-07-28
1942728506 Howell Pharmacy LLC Pharmacy 122 W State St, O Fallon, IL 62269-1161 2017-09-05
1255687398 Powers Family Pharmacy LLC Pharmacy 7776 Winghaven Blvd, O Fallon, MO 63368-3601 2012-07-26
1619984622 Walgreen Co Pharmacy 920 N Main St, O Fallon, MO 63366-1746 2006-08-02
1619968096 St Lukes Episcopal Presbyterian Hospital Pharmacy 5551 Winghaven Blvd, Ste 120, O Fallon, MO 63368-3617 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538582 Wilmington Pharmacy LLC Pharmacy 600 W Baltimore St, Wilmington, IL 60481-1281 2020-11-03
1952909632 Cordant Pharmacy Illinois, LLC Pharmacy 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 2020-10-14
1386242352 Letitride, Inc. Pharmacy 501 W Oak Street, Fairbury, IL 61739 2020-10-13
1699389890 J2sb LLC Pharmacy 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 2020-09-04
1891308045 Apotheco Pharmacy Lincoln Park LLC Pharmacy 2140 N Halsted St, Chicago, IL 60614-4385 2020-08-27
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1710599485 Costco Wholesale Corporation Pharmacy 16261 S Boulevard Pl, Plainfield, IL 60586-4400 2020-08-23
1982212635 Grand Pharmacy LLC Pharmacy 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 2020-07-20
1871110254 Illini Clinic Pharmacy Inc Pharmacy 103 N Prospect St, Cambridge, IL 61238-1148 2020-07-01
1831716745 The Project of The Quad Cities Pharmacy 1701 River Dr Ste 106, Moline, IL 61265-1384 2020-06-26
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Competitor

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City O FALLON
Zip Code 62269

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Dataset Information

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.

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