WALMART INC. (NPI# 1790029494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790029494 |
Entity Type | Organization |
Organization Name | WALMART INC. |
Other Organization Name | WALMART PHARMACY 10-3082 |
Practice Address |
1622 S Academy Blvd Colorado Springs CO 80916-4521 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 7192449572 |
Mailing Telephone | 4792040709 |
Mailing Fax Number | 4792774331 |
Enumeration Date | 2012-11-19 |
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 |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PDO.1680000018 | CO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2138194 | 01 | |
CO | 04138562 | 05 |
Other Name | Type Code |
---|---|
WalMart Pharmacy 10-3082 | 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 |
Virginia Business Entities | Walmart Inc. | 702 Sw 8th St, Bentonville, Arkansas 72716-6209 |
Street Address |
1622 S ACADEMY BLVD |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80916-4521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619532967 | Sheehan Cruz | Pharmacist | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2019-05-02 |
1477016673 | Jayce Wright | Pharmacist | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2019-04-13 |
1821559931 | Derek Stephenson | Pharmacist | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2019-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
Find all providers in zip 80916 |
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 |
---|---|---|---|---|
1154805067 | Uch-mhs | Pharmacy | 4050 Briargate Pkwy Rm C1318, Colorado Springs, CO 80920-7815 | 2018-09-18 |
1205099850 | Dillon Companies LLC | Pharmacy | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918 | 2008-07-03 |
1992982755 | Printers Parkway Pharmacy, LLC | Pharmacy | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6100 | 2008-01-23 |
1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
1669663027 | Dillon Companies LLC | Pharmacy | 9225 N Union Blvd, Colorado Springs, CO 80920 | 2007-08-09 |
1063512309 | City Employee Pharmacy | Pharmacy | 30 S Nevada, Colorado Springs, CO 80903 | 2006-09-25 |
1588777288 | Catholic Health Initiatives Colorado | Pharmacy | 3030 N Cascade Ave, Colorado Springs, CO 80907-5108 | 2006-08-16 |
1558376897 | Walgreen Co | Pharmacy | 2785 Dublin Blvd, Colorado Springs, CO 80918-1360 | 2006-07-29 |
1376572321 | Safeway Inc | Pharmacy | 7655 N Union Blvd, Colorado Springs, CO 80920-3863 | 2006-07-02 |
1821604646 | Bethel Business LLC | Pharmacy | 1640 S Nevada Ave, Colorado Springs, CO 80905-2222 | 2020-09-17 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80916 |
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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.