Sam's Club/Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S013076 Issued in AZ

Legal business name

SAM'S CLUB/WALMART

Practice address

1375 S Arizona Ave
Chandler, AZ 85286-6500

Phone

(480) 364-1568

NPI assigned

Oct 25, 2016

Last updated

Oct 25, 2016By 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

Dr. Kristy Thanhvan Tran, PHARMDNPI 1689119620

Title

Relief Staff Pharmacist

Phone

(480) 364-1568

Specialties & licenses 1

Addresses

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.

• Kristy Thanh Van Tran, PHARM.D.

  • Pharmacist
  • Chandler, AZ
  • NPI 1689119620
  NPD (past) Authorized official

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1023560166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 N TERRA MESA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071475",
            "telephone_number": "480-364-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866500",
            "telephone_number": "480-364-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB/WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "THANHVAN",
        "authorized_official_title_or_position": "RELIEF STAFF PHARMACIST",
        "authorized_official_telephone_number": "480-364-1568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S013076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Salmonson
• Harmony Salvas
• Nicole Charlotte Salvatore, PA-C
• Linda A Salvucci
• Sam's Club Optical (Sam's Club Optical 30-6213)
• Samar Care Trans LLC
• Amber Ann Sammon
• Sams West Inc (Sams Pharmacy 10-6213)
• Alexis N Sams, PT
• Kaitlin Marie Samuel

• Community/Retail Pharmacy in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.