WALMART INC. (NPI# 1730106113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730106113 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-1528 |
| Practice Address |
2645 Blairs Ferry Rd Ne Cedar Rapids IA 52402-1802 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3193932110 |
| Enumeration Date | 2006-07-16 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
434 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0067009 | 05 | |
| PK | 2028422 | 01 | |
| IA | 67009 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1528 | 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 |
2645 BLAIRS FERRY RD NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574106 | Tasha Lynn Harmon Miller | Pharmacist | 2645 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2020-03-24 |
| 1114111986 | Ehy, Inc. | Optometrist | 2645 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2007-09-05 |
| 1275614091 | Wal-mart Stores, Inc. | Technician/Technologist | 2645 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2006-10-18 |
| 1194837823 | Eyad Hussein Yehyawi | Optometrist | 2645 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1802 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| 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 |
|---|---|---|---|---|
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1649766353 | Gbank Health LLC | Pharmacy | 202 10th St Se Ste 115, Cedar Rapids, IA 52403-2424 | 2018-07-05 |
| 1306172952 | J and J Musick Inc | Pharmacy | 830 4th Ave Se Ste 2, Cedar Rapids, IA 52403-2445 | 2009-11-02 |
| 1477575116 | Iowa Cvs Pharmacy LLC | Pharmacy | 3400 Edgewood Rd Sw, Cedar Rapids, IA 52404-7214 | 2006-07-24 |
| 1912929654 | Iowa Cvs Pharmacy LLC | Pharmacy | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2006-07-24 |
| 1861422115 | Hy Vee Inc | Pharmacy | 3235 Oakland Rd Ne, Cedar Rapids, IA 52402-4044 | 2006-07-03 |
| 1396771267 | Hy Vee Inc | Pharmacy | 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1915 | 2006-06-23 |
| 1245275007 | Hy Vee Inc | Pharmacy | 4825 Johnson Ave Nw, Cedar Rapids, IA 52405-4207 | 2006-06-17 |
| 1659315026 | Iowa Cvs Pharmacy LLC | Pharmacy | 2711 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3551 | 2006-06-16 |
| 1255374575 | Hy Vee Inc | Pharmacy | 505 Boyson Rd Ne, Cedar Rapids, IA 52402-7284 | 2006-06-14 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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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.