Wal-Mart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WAL-MART

Practice address

10000 SE 82ND Ave
Happy Valley, OR 97086-2304

Phone

(503) 788-4757

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ken DoanNPI 1487292702

Title

Pharmacist

Phone

(503) 788-4757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ken Doan

  • Pharmacist
  • Happy Valley, OR
  • NPI 1487292702
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1013387794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862304",
            "telephone_number": "503-788-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-788-4757"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc. (Visionworks)
• Vy Ha Nguyen Vo
• Kristen A Vogel, DMD
• Janet J Wagner, MS CCC-SLP
• Kurt Wagner
• Walgreen Co (Walgreens #15927)
• Walgreen Co (Walgreens #1100)
• Walmart Inc. (Walmart Pharmacy 10-5440)
• Rebecca Ward, MA
• Patricia A Weaver, R.N.

• Community/Retail Pharmacy in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.