WALMART INC. (NPI# 1144247255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144247255 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-3847 |
| Practice Address |
1120 W Pioneer Blvd Mesquite NV 89027-8864 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0445 |
| Practice Telephone | 7023460408 |
| Practice Fax Number | 7023460916 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH02125 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2052130 | 01 | |
| NV | 1144247255 | 05 | |
| NV | 100508977 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3847 | 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 |
1120 W PIONEER BLVD |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355408 | Teri Wong | Pharmacist | 1120 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2020-10-28 |
| 1922575695 | Heak Son | Pharmacist | 1120 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2018-10-30 |
| 1235540998 | Brett P Richardson Od Pllc | Optometrist | 1120 W Pioneer Blvd, Mesquite, NV 89027 | 2014-05-15 |
| 1013258516 | Scott Price | Pharmacist | 1120 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2013-03-07 |
| 1720358641 | Brett Richardson | Optometrist | 1120 W Pioneer Blvd, Mesquite, NV 89027 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| 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 |
|---|---|---|---|---|
| 1780217158 | Prime Healthcare Services Mesquite LLC | Pharmacy | 1011 N Galloway Ave # Cl120, Mesquite, TX 75149-2433 | 2020-02-13 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1477819266 | Prodigious Industries LLC | Pharmacy | 502 W Kearney St Ste 900, Mesquite, TX 75149-3477 | 2012-04-05 |
| 1134412000 | Meridian Pharamcy Group At Galloway, Inc | Pharmacy | 2698 N Galloway Ave Ste 108, Mesquite, TX 75150-6390 | 2011-05-25 |
| 1356427819 | Rls Supermarkets LLC | Pharmacy | 4414 Gus Thomasson Rd, Mesquite, TX 75150-2232 | 2006-10-27 |
| 1477657278 | Cvs Pharmacy Inc | Pharmacy | 500 N Galloway Ave, Suite 2, Mesquite, TX 75149-3419 | 2006-09-12 |
| 1558376582 | Walgreen Co | Pharmacy | 4435 Gus Thomasson Rd, Mesquite, TX 75150-2231 | 2006-07-29 |
| 1083099485 | Paragon Specialty Pharmacy, LLC | Pharmacy | 2920 Motley Dr, Suite 800, Mesquite, TX 75150 | 2015-07-27 |
| 1871870204 | My Pharmacy | Pharmacy | 2920 Motley Dr, Suite 200, Mesquite, TX 75150-3471 | 2011-11-14 |
| Find all providers in MESQUITE | ||||
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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.