WALMART INC. (NPI# 1811196074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811196074 |
| Entity Type | Organization |
| Organization Name | WALMART INC. |
| Other Organization Name | WALMART PHARMACY 10-5424 |
| Practice Address |
11500 Hannon Rd Eagle Point OR 97524-9598 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5418262670 |
| Enumeration Date | 2007-07-17 |
| 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 |
RP0002416CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274541 | 05 | |
| PK | 2079563 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5424 | 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 |
11500 HANNON RD |
| City | EAGLE POINT |
| State | OR |
| Zip Code | 97524-9598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698473 | Andrew Watson | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524 | 2017-09-26 |
| 1336667559 | Kai Ng | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524 | 2017-09-08 |
| 1396107504 | Walmart | Community/Behavioral Health | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2016-03-26 |
| 1225406887 | Sarah Hashimee | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2015-09-11 |
| 1124421722 | Matthew Solomon | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-09-27 |
| 1679982987 | Erika Leigh Thompson | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-08-12 |
| 1760891733 | Melissa Jean Hobbs | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-08-04 |
| 1154739555 | David Zazhitskiy | Pharmacist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2014-07-29 |
| 1801171582 | Mark Breeden Od, Inc | Optometrist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2011-10-13 |
| 1063747145 | Mark Albert Breeden | Optometrist | 11500 Hannon Rd, Eagle Point, OR 97524-9598 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1639682834 | Marianne Arasmith | Massage Therapist | 6443 Monte Vista Ct, Eagle Point, OR 97524 | 2017-11-09 |
| 1437566163 | Mandy Dawn Walden | Behavioral Analyst | 360 N. Deanjou Ave, Eagle Point, OR 97524 | 2014-07-15 |
| 1710313200 | Casey Joe Winkler | Behavioral Analyst | 587 Sherman Way, Eagle Point, OR 97524 | 2013-09-17 |
| 1871745901 | Keith Fusao Ogawa | Dentist | 217 W. Main St., Eagle Point, OR 97524 | 2008-10-21 |
| 1578729893 | Tina Louise Matthews | Massage Therapist | 151 West Linn Rd, F6, Eagle Point, OR 97524 | 2008-08-06 |
| 1588700819 | Greg Gonzalez Pediatrics | Clinic/Center | 275 Loto Street, Eagle Point, OR 97524 | 2007-01-30 |
| 1194876235 | Donald Kirk Wolf | Physical Therapist | 158 Main, Eagle Point, OR 97524 | 2007-01-16 |
| 1780759985 | Eagle Point Dental Group,p.c. | Dentist | 217 W Main Street, Eagle Point, OR 97524 | 2006-11-22 |
| 1831268515 | Carmen D Edwards-henry | Speech-Language Pathologist | 1020 Highlands Drive, Eagle Point, OR 97524 | 2006-11-07 |
| Find all providers in zip 97524 | ||||
| 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 |
|---|---|---|---|---|
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1346850641 | Credena Health LLC | Pharmacy | 1510 Division St Ste 110, Oregon City, OR 97045-1572 | 2020-08-03 |
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
| 1598302119 | Beacon Health Care Solutions Incorporated | Pharmacy | 2790 Broadway Ave, North Bend, OR 97459-2216 | 2019-12-02 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE POINT |
| Zip Code | 97524 |
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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.