WAL-MART STORES INC (NPI# 1700120136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700120136 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC |
| Other Organization Name | WAL-MART PHARMACY 30-5864 |
| Practice Address |
1511 Grant St Gardnerville NV 89410-7824 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7757826393 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | AMY POWERS (SPECIALIST, PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792040709 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Pharmacy 30-5864 | 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 |
| 1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
| 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 |
| Street Address |
1511 GRANT ST |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89410-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931127 | Hayes Robert Wilson | Physician Assistant | 1107 Highway 395 North, Gardnerville, NV 89410 | 2019-09-17 |
| 1609361088 | Douglas County and Unincorporated Towns | Substance Abuse Rehabilitation Facility | China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 | 2018-06-27 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1245787308 | Debra M Robison | Pharmacist | 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 | 2016-09-07 |
| 1346573268 | Cynthia Suzanne Tarantino-fernandez | Social Worker | 1296 Bray Way, Gardnerville, NV 89410 | 2009-09-10 |
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1033316054 | Barbara Ellen Gould | Physical Therapist | 1107 Highway 395 South, Gardnerville, NV 89410 | 2007-07-02 |
| 1992916019 | Diane G. Oliver, Md | Pathology | 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 | 2007-05-24 |
| 1346460656 | Ricky Shigeru Miyashiro | Physical Therapist | 1107 Hwy 395 S, Gardnerville, NV 89410 | 2007-04-27 |
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| Find all providers in zip 89410 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1912569203 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1980 Festival Plaza Dr Spc J200, Las Vegas, NV 89135-2927 | 2019-07-08 |
| 1013491869 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3411 Saint Rose Pkwy, Henderson, NV 89052-4570 | 2018-09-18 |
| 1396229399 | Usv Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 8025 S Rainbow Blvd Ste 104, Las Vegas, NV 89139-6495 | 2018-09-17 |
| 1184143109 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 2279 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2017-09-11 |
| 1780134445 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4530 S Carson St, Carson City, NV 89701-6918 | 2016-10-06 |
| 1730567561 | Sunstar Optical | Eyewear Supplier (Equipment, not the service) | 5960 Edmond St, Las Vegas, NV 89118-2856 | 2015-05-13 |
| 1457759391 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6633 S Virginia St, Suite D, Reno, NV 89511-1169 | 2014-12-09 |
| 1982034724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 740 S Rampart Blvd Ste 6, Las Vegas, NV 89145-5805 | 2013-11-14 |
| 1619221124 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 6633 S Virginia St Ste D, Reno, NV 89511-1162 | 2012-11-06 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89410 |
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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.