WAL-MART STORES INC (NPI# 1558763672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558763672 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC |
| Other Organization Name | WALMART PHARMACY 10-2578 |
| Practice Address |
3500 Mulberry Highway 64 W Mulberry AR 72947-8952 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4799978895 |
| Practice Fax Number | 4799978897 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | LAURA LEVINE (DIR. HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20779 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 206916407 | 05 | |
| PK | 2148054 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2578 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980219 | Wal-mart Stores Inc | Technician/Technologist | 4425 Venetucci Blvd, Fountain, CO 80906 | 2015-04-23 |
| 1932590999 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Orchard Dr, Hillsboro, KS 67063-3502 | 2015-02-12 |
| 1538558994 | Wal-mart Stores Inc | Technician/Technologist | 3460 W Chandler Blvd, Chandler, AZ 85226-5065 | 2015-01-22 |
| 1861897134 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1105 E 15th St, Ellsworth, KS 67439-8548 | 2014-10-29 |
| 1316342686 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 120 W Rosewood St, Rose Hill, KS 67133-9301 | 2014-10-29 |
| 1578967212 | Wal-mart Stores Inc | Pharmacy | 1531 E Highway 64, Coal Hill, AR 72832-8704 | 2014-10-09 |
| 1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
| 1497158349 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 900 E Ross St, Clearwater, KS 67026-7849 | 2014-10-07 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Street Address |
3500 MULBERRY HIGHWAY 64 W |
| City | MULBERRY |
| State | AR |
| Zip Code | 72947-8952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053352 | Catherine Lyle Mustain | Physician Assistant | 421 N. Main Street, Mulberry, AR 72947 | 2006-06-19 |
| 1275766909 | River Valley Primary Care Services, Inc. | Clinic/Center | 421 N. Main Street, Mulberry, AR 72947 | 2009-08-28 |
| 1851501217 | Leslie Renee Entrekin | Specialist | 6301 Moon Rd, Mulberry, AR 72947-8359 | 2007-05-23 |
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1093349730 | Western Arkansas Counseling and Guidance Center,inc.-rcf Mulberry | Community/Behavioral Health | 949 N Main St, Mulberry, AR 72947-8538 | 2020-03-02 |
| 1861048332 | Melinda Yowell | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-08-12 |
| 1720546062 | Cassandra Jeffries | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-03-06 |
| 1609387224 | Sheila Nicole Gilbert | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-10-23 |
| 1174045686 | Joshua Harris | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-07-17 |
| 1396273850 | Jerod Johnson | Counselor | 949 N Main St, Mulberry, AR 72947-8538 | 2017-05-30 |
| Find all providers in zip 72947 | ||||
| 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] |
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| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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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.