WALMART INC. (NPI# 1720005101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720005101 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-1723 |
| Practice Address |
5101 Se 14th St Des Moines IA 50320-1609 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5152877748 |
| 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 |
716 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0078725 | 05 | |
| PK | 2028886 | 01 | |
| IA | 78725 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1723 | 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 |
5101 SE 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178895 | Mone Cavan | Pharmacist | 5101 Se 14th St, Des Moines, IA 50320-1609 | 2020-06-11 |
| 1578188108 | Kelly Marie Swift | Pharmacist | 5101 Se 14th St, Des Moines, IA 50320-1609 | 2020-06-09 |
| 1619058419 | Wal-mart Stores, Inc. | Technician/Technologist | 5101 Se 14th St, Des Moines, IA 50320-1609 | 2006-10-18 |
| 1508972613 | Bradley James Bartlett | Optometrist | 5101 Se 14th St, Des Moines, IA 50320-1609 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694272 | Riverwoods Terrace, LLC | Assisted Living Facility | 2210 East Park Avenue, Des Moines, IA 50320 | 2014-06-12 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| Find all providers in zip 50320 | ||||
| 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 |
|---|---|---|---|---|
| 1033655360 | Hy Vee Inc | Pharmacy | 420 Court Ave, Des Moines, IA 50309-2237 | 2017-01-10 |
| 1508294620 | Cerner Health Connections, Inc | Pharmacy | 750 Park St, Cerner Health Connections, Inc, Des Moines, IA 50309-1607 | 2013-10-29 |
| 1316081938 | Bauder Pharmacy Inc | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2007-02-16 |
| 1700954781 | Des Moines Drug Store Inc | Pharmacy | 627 So 227th St, Des Moines, WA 98198-6827 | 2006-11-30 |
| 1699785048 | Foods Inc | Pharmacy | 3400 E 33rd St, Des Moines, IA 50317-3835 | 2006-08-08 |
| 1982619292 | Walgreen Co | Pharmacy | 104 E Euclid Ave, Des Moines, IA 50313-4507 | 2006-07-29 |
| 1891700100 | Walgreen Co | Pharmacy | 3501 Ingersoll Ave, Des Moines, IA 50312-3406 | 2006-07-29 |
| 1154344471 | Iowa Cvs Pharmacy LLC | Pharmacy | 5901 Douglas Ave, Des Moines, IA 50322-3303 | 2006-07-26 |
| 1487671046 | Dgs-acquisitions LLC | Pharmacy | 3425 Ingersoll Ave, Des Moines, IA 50312-3915 | 2006-07-17 |
| 1164455218 | Dgs-acquisitions LLC | Pharmacy | 4121 Fleur Dr, Des Moines, IA 50321-2323 | 2006-07-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50320 |
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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.