Walmart

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

PD12269 Issued in AR

Legal business name

WALMART

Practice address

2510 Cantrell Rd
Little Rock, AR 72202-2116

Phone

(501) 707-3607

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hiedi Mason, PHARM.D.

Title

Pharmacist

Phone

(870) 820-1413

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1053789065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12580 SOUTHRIDGE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722022116",
            "telephone_number": "501-707-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HIEDI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-820-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AR",
            "license": "PD12269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Eugene Walls Jr., OTR/L
• Jennifer Walls
• Shuntoria M Walls
• Yael Walls
• Meredith Lynne Wallus
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Brandon Walser, M.D.

• Public Health or Welfare Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Public Health or Welfare Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.