WAL-MART STORES INC (NPI# 1568865368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568865368 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC |
| Other Organization Name | WALMART PHARMACY 10-2498 |
| Practice Address |
720 N Hwy 71 Mansfield AR 72940 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4799289002 |
| Practice Fax Number | 4799289004 |
| Mailing Telephone | 4792771240 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| 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 |
AR20787 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 206912407 | 05 | |
| PK | 2148427 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2498 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980219 | Wal-mart Stores Inc | Technician/Technologist | 4425 Venetucci Blvd, Fountain, CO 80906 | 2015-04-23 |
| 1932590999 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Orchard Dr, Hillsboro, KS 67063-3502 | 2015-02-12 |
| 1538558994 | Wal-mart Stores Inc | Technician/Technologist | 3460 W Chandler Blvd, Chandler, AZ 85226-5065 | 2015-01-22 |
| 1861897134 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1105 E 15th St, Ellsworth, KS 67439-8548 | 2014-10-29 |
| 1316342686 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 120 W Rosewood St, Rose Hill, KS 67133-9301 | 2014-10-29 |
| 1578967212 | Wal-mart Stores Inc | Pharmacy | 1531 E Highway 64, Coal Hill, AR 72832-8704 | 2014-10-09 |
| 1497158349 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 900 E Ross St, Clearwater, KS 67026-7849 | 2014-10-07 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| 1104228386 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 8848 N Highway 59, Van Buren, AR 72956-7903 | 2014-09-19 |
| Street Address |
720 N HWY 71 |
| City | MANSFIELD |
| State | AR |
| Zip Code | 72940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154546 | Tiffany N Dickinson | Physical Therapy Assistant | 4734 Sandstone Ln, Huntington, AR 72940-8801 | 2020-02-04 |
| 1265779193 | Oxford Consulting, Pllc | Nurse Practitioner | 6805 Johnson Rd, Huntington, AR 72940-9433 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1063013951 | Travis Tuan Tran | Pharmacist | 1826 Lake Glen Trl, Mansfield, TX 76063-4090 | 2020-11-05 |
| 1861093114 | Jimmie Wayne Jones | Home Health Aide | 2838 Stafford Dr, Mansfield, OH 44904-9562 | 2020-11-03 |
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1083214381 | Infinite Care Health Services LLC | Home Health | 288 Glessner Ave Ste B, Mansfield, OH 44903-2225 | 2020-10-27 |
| 1093314742 | Tammy Whitmore | Private Vehicle | 440 Gadfield Rd, Mansfield, OH 44903-1953 | 2020-10-23 |
| 1396344123 | Tammy Renee Bowers | Private Vehicle | 1151 Monterey Dr, Mansfield, OH 44907-2443 | 2020-10-22 |
| 1487253175 | Pearlie M Newbern | Nurse's Aide | 1517 Willow Park Dr, Mansfield, OH 44903-8848 | 2020-10-22 |
| 1356940399 | Donald Ray Blakley Jr. | Technician | 717 W Cook Rd, Mansfield, OH 44907-5009 | 2020-10-21 |
| Find all providers in MANSFIELD | ||||
| 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 |
|---|---|---|---|---|
| 1316439748 | Ambika Pharmacy LLC | Pharmacy | 2300 Matlock Rd Ste 37, Mansfield, TX 76063-5018 | 2018-06-01 |
| 1992104194 | Shatiff Pharmacy Inc | Pharmacy | 2771 E Broad St Ste 219, Mansfield, TX 76063-9157 | 2014-08-14 |
| 1124459870 | Melrose Pharmacy LLC | Pharmacy | 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 | 2013-12-06 |
| 1205922457 | Coles Pharmacy | Pharmacy | 2 S Main Street, Mansfield, PA 16933-1508 | 2006-10-05 |
| 1043311509 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 197 N Main St, Mansfield, PA 16933-1311 | 2006-09-26 |
| 1467551838 | Cvs Pharmacy Inc | Pharmacy | 261 Chauncy St, Mansfield, MA 02048-1247 | 2006-09-22 |
| 1427156272 | Cvs Pharmacy Inc | Pharmacy | 2882 N Fm 157, Mansfield, TX 76063 | 2006-09-20 |
| 1245334036 | Cvs Pharmacy Inc | Pharmacy | 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 | 2006-09-12 |
| 1063515765 | Ohio Cvs Stores LLC | Pharmacy | 1411 Lexington Ave, Mansfield, OH 44907-2629 | 2006-09-07 |
| 1679588644 | Walgreen Co | Pharmacy | 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 | 2006-07-29 |
| Find all providers in MANSFIELD | ||||
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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.