WALMART INC.


Address: 4051 E Fairview Ave, Meridian, ID 83642-5801
Phone: 2083730024

WALMART INC. (NPI# 1619994969) 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) 1619994969
Entity Type Organization
Organization Name WALMART INC.
Other Organization Name WALMART PHARMACY 10-2862
Practice Address 4051 E Fairview Ave
Meridian
ID 83642-5801
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 2083730024
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

Taxonomy

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
1575RP ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2021751 01
ID 806001500 05

Other Provider/Organization Names

Other Name Type Code
WALMART PHARMACY 10-2862 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4051 E FAIRVIEW AVE
City MERIDIAN
State ID
Zip Code 83642-5801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588073035 Kristina Jonas Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-08-08
1073921409 Jill Marie Good Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-29
1477961969 Devin Nelson Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-28
1376951970 Todd Kerr Pharmacist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-07-27
1518377704 Crawford Eye Care, LLC Optometrist 4051 E Fairview Ave, Meridian, ID 83642-5801 2014-04-28
1912159823 Brandon Bennett Crawford Optometrist 4051 E Fairview Ave, Meridian, ID 83642 2008-10-22
1356431514 Wal-mart Stores, Inc Technician/Technologist 4051 E Fairview Ave, Meridian, ID 83642-5801 2006-10-16
1841397940 Kevin Bernard Mcsweeney Optometrist 4051 E Fairview Ave, Meridian, ID 83642-5801 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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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
1043838584 Costco Wholesale Corporation Pharmacy 3403 W Chinden Blvd, Meridian, ID 83646-7151 2020-07-10
1013559269 Timberline Pharmacy Pharmacy 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 2019-10-09
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1699048009 Rosauers Supermarkets Inc Pharmacy 2986 N Eagle Rd, Meridian, ID 83646-6251 2012-02-15
1093953218 Walgreen Co Pharmacy 4850 N Linder Rd, Meridian, ID 83646-6159 2009-01-26
1447324967 Transcript Pharmacy Inc Pharmacy 1815 Highway 39 N, Ste E, Meridian, MS 39301-2732 2006-11-17
1417056722 Mississippi Cvs Pharmacy, L.L.C. Pharmacy 820 Highway 19 N Ste 195, Meridian, MS 39307-5820 2006-09-22
1114929296 Hulls Pharmacy Inc Pharmacy 2000 24th Ave, Meridian, MS 39301-3120 2005-06-02
1710525829 The Family Medicine Residency of Idaho, Inc. Pharmacy 2275 S Eagle Rd Ste 120, Meridian, ID 83642-2620 2019-12-19
1609311448 Freds Stores of Tennessee Inc Pharmacy 626 22nd Ave S, Meridian, MS 39301-6120 2017-01-04
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Competitor

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City MERIDIAN
Zip Code 83642

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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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