WALMART INC.


Address: 1360 Center Dr, Medford, OR 97501-7941
Phone: 5417722469

WALMART INC. (NPI# 1972520021) 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) 1972520021
Entity Type Organization
Organization Name WALMART INC.
Other Organization Name WALMART PHARMACY 10-2069
Practice Address 1360 Center Dr
Medford
OR 97501-7941
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0445
Practice Telephone 5417722469
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

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
0001304CS OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2078312 01
OR 120712 05

Other Provider/Organization Names

Other Name Type Code
WALMART PHARMACY 10-2069 Doing Business As Name - Organization

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 1360 CENTER DR
City MEDFORD
State OR
Zip Code 97501-7941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447257621 Cara Lee Brammer Pharmacist 1360 Center Dr, Medford, OR 97501-7941 2005-07-04
1942678149 Julius Matthew Bolus Pharmacist 1360 Center Dr, Medford, OR 97501-7941 2015-09-04
1952787384 Mae Osias Pharmacist 1360 Center Dr, Medford, OR 97501-7941 2015-08-07
1679980791 Michelle Nguyen Le Pharmacist 1360 Center Dr, Medford, OR 97501-7941 2014-07-21
1659635639 Wal-mart Stores Inc Technician/Technologist 1360 Center Dr, Medford, OR 97501 2012-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
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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
1083160147 Safeway Pharmacy 2001 Table Rock Rd, Apt 28, Medford, OR 97501-1483 2016-08-29
1902168289 Medford Family Pharmacy LLC Pharmacy 103 Old Marlton Pike Ste 123, Medford, NJ 08055-8772 2012-06-12
1205043387 Walgreen Co Pharmacy 210 E Barnett Rd, Medford, OR 97501-7928 2007-05-17
1285717520 New Jersey Cvs Pharmacy LLC Pharmacy 137 Route 70, Medford, NJ 08055-2378 2006-10-23
1598864944 Cvs Pharmacy Inc Pharmacy 590 Fellsway, Medford, MA 02155-4925 2006-09-22
1124127576 Cvs Pharmacy Inc Pharmacy 55 Riverside Ave, Medford, MA 02155-4605 2006-09-22
1780781625 Medford Pharmacy Group LLC Pharmacy 2355 W Main St, Medford, OR 97501 2006-09-20
1669576427 Cvs Albany LLC Pharmacy 1565 Route 112, Medford, NY 11763-3647 2006-09-12
1548375322 Medford Shoprite, Inc. Pharmacy 208 Route 70, Medford, NJ 08055-9522 2006-08-20
1518998079 Walgreen Co Pharmacy 49 Station Lndg, Medford, MA 02155-5192 2006-07-05
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Competitor

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City MEDFORD
Zip Code 97501

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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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