WALMART PHARMACY (NPI# 1629487616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629487616 |
| Entity Type | Organization |
| Organization Name | WALMART PHARMACY |
| Practice Address |
4001 Hallmark Pkwy San Bernardino CA 92407-1876 |
| Practice Telephone | 9098803652 |
| Mailing Telephone | 9098803652 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | MS. ROSEMARY NWAKAEGO ANYANWU (PHARMACY MANAGER) |
| Authorized Official Telephone | 9098803652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 66773 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427501279 | Walmart Pharmacy | Pharmacy | 1401 E Navajo Dr, Apt 3104, Hobbs, NM 88240-9433 | 2016-07-28 |
| 1770936502 | Walmart Pharmacy | Pharmacy | 2491 Highway 120, Robeline, LA 71469-5509 | 2016-07-17 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| 1629390968 | Walmart Pharmacy | Pharmacy | 143 Pleasant Meadows Rd, Cooperstown, NY 13326-5039 | 2010-02-26 |
| 1164561882 | Walmart Pharmacy | Pharmacy | 6868 Us Hwy129, Live Oak, FL 32060 | 2007-02-06 |
| 1659916344 | Walmart Pharmacy | Pharmacy | 2709 Church St Ste A, Conway, SC 29526-4440 | 2019-11-17 |
| 1427690007 | Walmart Pharmacy | Pharmacy | 15355 N Northsight Blvd, Scottsdale, AZ 85260-2603 | 2019-10-15 |
| 1790229748 | Walmart Pharmacy | Pharmacy | 11101 S Parker Rd, Parker, CO 80134-4773 | 2016-12-09 |
| 1679015309 | Walmart Pharmacy | Pharmacist | 3000 E Franklin Blvd, Gastonia, NC 28056-9451 | 2016-11-11 |
| Street Address |
4001 HALLMARK PKWY |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641318 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2006-07-16 |
| 1700272895 | Irene P Lou, Od Inc | Optometrist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2015-04-15 |
| 1588065700 | Jackelyn Hong | Pharmacist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2014-09-07 |
| 1598174567 | Samuel K Chun | Pharmacist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2014-08-04 |
| 1891127858 | Irene Pulido Lou | Optometrist | 4001 Hallmark Pkwy, #2, San Bernardino, CA 92407-1876 | 2013-08-01 |
| 1154501575 | Firstsight Vision Services, Inc. | Optometrist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2007-11-14 |
| 1912033168 | Ricardo Espinosa | Optometrist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2007-02-24 |
| 1467536003 | Wal-mart Stores, Inc. | Technician/Technologist | 4001 Hallmark Pkwy, San Bernardino, CA 92407-1876 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688892 | Berhe Group Home Inc. | Community/Behavioral Health | 5994 Mckinley Ave, San Bernardino, CA 92404-3530 | 2020-04-16 |
| 1902436744 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 | 2020-01-21 |
| 1750931572 | County of San Bernardino | Community/Behavioral Health | 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 | 2019-09-13 |
| 1922579598 | Expert Aba Consulting | Community/Behavioral Health | 3975 Modesto Dr, San Bernardino, CA 92404-1946 | 2018-12-07 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1558878819 | Latasha Shenise Jones | Community/Behavioral Health | 2030 E 19th St Apt C, San Bernardino, CA 92404-5800 | 2018-01-08 |
| 1609392729 | Berhe Group Home, Inc. | Community/Behavioral Health | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2017-08-21 |
| 1003331018 | Bianka Elsie Sanchez | Community/Behavioral Health | 7812 Merito Ave, San Bernardino, CA 92410-4631 | 2017-08-10 |
| 1821511908 | Wendy Martinez | Community/Behavioral Health | 5550 University Pkwy, San Bernardino, CA 92407-2318 | 2017-07-20 |
| 1801319124 | Ernesto Alonso | Community/Behavioral Health | 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 | 2017-07-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
Please comment or provide details below to improve the information on WALMART PHARMACY.
| 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.