WALMART INC. (NPI# 1205853470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205853470 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-1535 |
| Practice Address |
3209 S Louise Ave Sioux Falls SD 57106-0704 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0445 |
| Practice Telephone | 6053621602 |
| 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 |
10-01489 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 8503580 | 05 | |
| PK | 2094197 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1535 | 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 |
3209 S LOUISE AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-0704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688823 | Andrew Hemmer | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-10-28 |
| 1225638521 | Crystal Kezar | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0705 | 2020-10-27 |
| 1760082275 | Hillary Dodson | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-10-26 |
| 1720608615 | Tracey Layne Krause | Pharmacy Technician | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2020-04-21 |
| 1366950263 | Tyler Joseph Aldren | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2018-01-14 |
| 1750539151 | North Central Eye, Inc. | Clinic/Center | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2008-08-28 |
| 1366605859 | Joshua David Tims | Optometrist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2008-07-06 |
| 1952485328 | Jeff Daniel Derouchey | Pharmacist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-24 |
| 1235212796 | Wal-mart Stores, Inc. | Technician/Technologist | 3209 S Louise Ave, Sioux Falls, SD 57106-0704 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| 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 |
|---|---|---|---|---|
| 1831675438 | Lewis Drugs, Inc. | Pharmacy | 2525 S Ellis Rd, Sioux Falls, SD 57106-7066 | 2018-07-17 |
| 1104302702 | Lewis Drugs, Inc. | Pharmacy | 136 S Phillips Ave, Sioux Falls, SD 57104-6706 | 2018-07-17 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1316342306 | Dpx Enterprises, Inc. | Pharmacy | 5028 S Cliff Ave, Sioux Falls, SD 57108-5432 | 2014-11-03 |
| 1609178565 | Hy Vee Inc | Pharmacy | 2700 W 10th St, Sioux Falls, SD 57104-2547 | 2010-11-29 |
| 1295825297 | Lewis Drugs Inc | Pharmacy | 6109 S Louise Ave, Sioux Falls, SD 57108-5981 | 2006-10-13 |
| 1417979162 | Cvs Pharmacy Inc. | Pharmacy | 3600 S Louise Ave, Sioux Falls, SD 57106-6326 | 2006-07-24 |
| 1457977605 | Madyson Muller | Pharmacy | 1301 E 10th St, Sioux Falls, SD 57103-1780 | 2020-06-23 |
| 1659703312 | Pharmacy Specialties, Inc | Pharmacy | 2333 W 57th St, Sioux Falls, SD 57108-5053 | 2013-08-05 |
| 1750713574 | Costco Wholesale Corporation | Pharmacy | 3700 S Grange Ave, Sioux Falls, SD 57105 | 2013-08-02 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
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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.