WAL-MART STORES, INC


Address: 36318 Memory Lane, Polson, MT 59860
Phone: 4792734885

WAL-MART STORES, INC (NPI# 1154755197) 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) 1154755197
Entity Type Organization
Organization Name WAL-MART STORES, INC
Other Organization Name WAL-MART VISION CENTER 30-2607
Practice Address 36318 Memory Lane
Polson
MT 59860
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 4792734885
Enumeration Date 2013-08-27
Last Update Date 2013-08-27
Authorized Official Name DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
Authorized Official Telephone 4792582115
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Wal-Mart Vision Center 30-2607 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295190510 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 600 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 2015-12-31
1871961185 Wal-mart Stores, Inc Technician/Technologist 3001 E Highway 7, Montevideo, MN 56265-4556 2015-09-03
1821407909 Wal-mart Stores, Inc Technician/Technologist 19191 N Kelsey St, Monroe, WA 98272-1459 2014-08-04
1396155701 Wal-mart Stores, Inc Technician/Technologist 21320 Sw Langer Farm, Sherwood, OR 97140 2014-05-07
1235578907 Wal-mart Stores, Inc Technician/Technologist 1000 Old Red Trl Ne, Mandan, ND 58554-1591 2013-06-17
1821435520 Wal-mart Stores, Inc Technician/Technologist 530 Woollomes Ave, Delano, CA 93215 2013-06-04
1093055147 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 671 E Apache Blvd, Suite 128, Tempe, AZ 85281-6717 2013-02-27
1639350564 Wal-mart Stores, Inc Eyewear Supplier (Equipment, not the service) 3031 1st St S, Willmar, MN 56201-4240 2007-11-20
1326229253 Wal-mart Stores, Inc Eyewear Supplier (Equipment, not the service) 1205 S Route 31, Crystal Lake, IL 60014 2007-11-20
1316161797 Wal-mart Stores, Inc Technician/Technologist 1326 Bush River Road, Columbia, SC 29210 2007-04-13

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations WAL-MART STORES, INC. 702 Sw 8th Street, Bentonville, AR 72716
Vermont Business Registrations WAL-MART STORES, INC. 702 Sw 8th Street, Bentonville, AR 72716
Massachusetts Corporations WAL-MART STORES, INC. 702 Sw 8th Street, Bentonville, AR 72716
Oklahoma Business Registrations WAL-MART STORES, INC. 702 Sw 8th St, Bentonville, AR 72716

Office Location

Street Address 36318 MEMORY LANE
City POLSON
State MT
Zip Code 59860

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679095020 Ashley J Gilham Registered Nurse #5 4th Ave E., Polson, MT 59860 2017-07-07
1225585532 St. Luke Community Hospital Clinic/Center 107 Ridgewater Dr., Polson, MT 59860 2016-09-02
1306202163 Western Montana Mental Health Center Community Based Residential Treatment Facility, Mental Illness 7 13th Ave East, Polson, MT 59860 2016-01-11
1154730364 Wanda L King Dietitian, Registered 6 Thirteenth Avenue East, Poslon, MT 59860 2014-08-13
1104255637 Dacia Lee Antiste-fisher Counselor #5 4th Ave. E., Polson, MT 59860 2013-11-05
1154758134 Richard Pierre Pharmacy Technician 5 4th Ave E., Polson, MT 59860 2013-10-04
1245582022 Catherine D Addison Registered Nurse 5 4th Ave. East, Polson, MT 59860 2012-10-04
1114220787 Erika Ann Weber Social Worker #5 4th Ave. E, Polson, MT 59860 2010-12-21
1942431473 Lisa L. Scalpane Counselor 803 Main Street, Suite C, Polson, MT 59860 2009-07-31
1477727956 Bernadette N. Corum Family Medicine #5 4th Ave. East, Polson, MT 59860 2008-04-16
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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
1386657070 Bundy Management Inc. Pharmacy One 7th Ave East, Suite D, Polson, MT 59860 2006-08-14
1073687919 Credena Health LLC Pharmacy 6 13th Ave E, Polson, MT 59860-5315 2006-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023630662 Pharm406 Inc Pharmacy 1410 38th St W Ste A, Billings, MT 59102-7552 2020-05-16
1710521679 Billmont Rx, LLC Pharmacy 1603 Grand Ave Ste 250, Billings, MT 59102-3000 2019-11-04
1235636689 Daniel Patrick Doran Pharmacy 590 Stockett Rd, Sand Coulee, MT 59472-9745 2018-04-11
1477069193 406 Rx Pllc Pharmacy 117 N Main St Ste A, Three Forks, MT 59752-9013 2017-12-18
1508385477 Jkw & Jira Inc. Pharmacy 1245 N 29th St Ste 100, Billings, MT 59101 2017-09-12
1326564857 Billings Clinic Specialty Supplies and Services, LLC Pharmacy 1015 Broadwater Ave Ste 101, Billings, MT 59102 2017-08-16
1679977433 Superior Specialty Pharmacy of Montana, LLC Pharmacy 20 Four Mile Dr Ste 4, Kalispell, MT 59901-2644 2014-10-22
1134439797 Kc Western Drug Pharmacy 105 E 1st, Clyde Park, MT 59018-0000 2010-10-18
1669795647 Broadus Foods, Inc Pharmacy 120 S Park Avenue, Broadus, MT 59317-0549 2010-03-05
1316135940 Rosauers Supermarkets Inc Pharmacy 3255 Technology Blvd W, Bozeman, MT 59718-6854 2007-10-09
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Competitor

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City POLSON
Zip Code 59860

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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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