WALMART INC. (NPI# 1366469595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366469595 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-1617 |
| Practice Address |
4400 E 2nd St Casper WY 82609-4221 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0445 |
| Practice Telephone | 3072370994 |
| 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 |
5202736 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 105602600CON | 05 | |
| PK | 2111464 | 01 | |
| WY | 105602600 CON | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1617 | 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 |
4400 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992747554 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4400 E 2nd St, Casper, WY 82609-4221 | 2006-06-11 |
| 1033719372 | Ethan Pippin | Pharmacist | 4400 E 2nd St, Casper, WY 82609-4221 | 2020-10-27 |
| 1760960306 | Andrew Martin Cox | Pharmacist | 4400 E 2nd St, Casper, WY 82609-4221 | 2018-08-06 |
| 1962958637 | Kenneth R Carnes | Pharmacist | 4400 E 2nd St, Casper, WY 82609-4215 | 2016-08-31 |
| 1578919866 | Amy Vircks | Pharmacist | 4400 E 2nd St, Casper, WY 82609-4221 | 2016-05-05 |
| 1679982714 | Chris Roberts | Pharmacist | 4400 E 2nd St, Casper, WY 82609-4215 | 2014-08-02 |
| 1760655054 | Wyoming Eye Associates, LLC | Clinic/Center | 4400 E 2nd St, Casper, WY 82609-4221 | 2008-04-08 |
| 1013034032 | Jason B Whitman | Optometrist | 4400 E 2nd St, Casper, WY 82609-4215 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| 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 |
|---|---|---|---|---|
| 1306484092 | Compounding Specialists LLC | Pharmacy | 1540 Centennial Ct Unit 100, Casper, WY 82609-7308 | 2019-12-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1861789646 | Geneva Woods Retail Pharmacy, LLC | Pharmacy | 1522 East A St, Casper, WY 82601-2217 | 2011-06-30 |
| 1689689762 | Walgreen Co | Pharmacy | 1071 Cy Ave, Casper, WY 82604-3515 | 2006-07-29 |
| 1770598856 | Walgreen Co | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2006-07-29 |
| 1184239378 | Jaclyn June Edwards | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2020-09-14 |
| 1194298950 | Pharmworx LLC | Pharmacy | 4641 Sw Wyoming Blvd, Casper, WY 82601-6702 | 2019-01-04 |
| 1023589462 | University of Wyoming | Pharmacy | 1522 E A St, Casper, WY 82601-2217 | 2018-12-11 |
| 1073673042 | Community Health Center of Central Wyoming Inc | Pharmacy | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2006-12-11 |
| 1962448738 | Ridleys Family Markets Inc | Pharmacy | 1375 Cy Ave, Casper, WY 82604-3513 | 2006-06-21 |
| Find all providers in CASPER | ||||
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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.