WALMART INC. (NPI# 1639196025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639196025 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-3762 |
| Practice Address |
6365 Stagecoach Dr West Des Moines IA 50266-8083 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5154532760 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1297 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030408 | 01 | |
| IA | 0499939 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3762 | 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 |
| Street Address |
6365 STAGECOACH DR |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-8083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681507 | Gregory Dominick Walker | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-08-28 |
| 1619592433 | Michaeline Martin | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-06-09 |
| 1164047866 | Cynthia Ramsay | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-06-09 |
| 1871118539 | Stacie Marie Daniels | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-06-09 |
| 1730704461 | Shannon Erickson | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-06-09 |
| 1356575823 | Franzeen Eye Care Pllc | Optometrist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2009-05-12 |
| 1700914561 | Mark R Hoxmeier | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2007-03-01 |
| 1528149325 | Wal-mart Stores, Inc. | Technician/Technologist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2006-10-18 |
| 1235157223 | Lexie Laurel Franzeen | Optometrist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| 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 |
|---|---|---|---|---|
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1801937917 | Foods, Inc | Pharmacy | 5003 Ep True Pkwy, West Des Moines, IA 50265-2852 | 2007-02-09 |
| 1497835300 | Foods Inc | Pharmacy | 1208 Prospect Ave, West Des Moines, IA 50265-3525 | 2006-10-16 |
| 1235144551 | Walgreen Co | Pharmacy | 1660 22nd St, West Des Moines, IA 50266-1445 | 2006-07-29 |
| 1245253566 | Iowa Cvs Pharmacy LLC | Pharmacy | 5405 Mills Civic Pkwy, West Des Moines, IA 50266-5303 | 2006-07-26 |
| 1356387237 | Hy Vee Inc | Pharmacy | 3580 Ep True Pkwy, West Des Moines, IA 50265-7647 | 2006-06-21 |
| 1417121112 | Hy Vee Inc | Pharmacy | 5820 Westown Pkwy, West Des Moines, IA 50266-8223 | 2008-04-15 |
| 1407966021 | Costco Wholesale Corporation | Pharmacy | 7205 Mills Civic Pkwy, West Des Moines, IA 50266 | 2006-08-30 |
| 1649292384 | Iowa Cvs Pharmacy LLC | Pharmacy | 1800 Valley West Dr, West Des Moines, IA 50266-1104 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.