Active NPI
Wal-Mart Associates, Inc
- Health Service Clinic/Center
- Carmichael, CA
National Provider Identifier
1083015481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 64873
- Legal business name
- WAL-MART ASSOCIATES, INC
- Practice address
- 6005 Madison Ave
Carmichael, CA 95608-0521 - Phone
- (916) 534-1162
- NPI assigned
- Sep 4, 2014
- Last updated
- Oct 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Brown
- Title
- Market Health Wellness Director
- Phone
- (479) 899-5685
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 64873 | CA | Primary |
| State or Local Public Health Clinic/Center | 261QP0905X | 64873 | CA |
Addresses
Primary practice location
6005 Madison Ave
Carmichael, CA 95608-0521
Mailing address
6005 Madison Ave
Carmichael, CA 95608-0521
National Provider Directory
National Provider Directory- Tax ID family
- Walmart
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1083064372
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- Pharmacist
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- NPI 1578004438
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- Pharmacy
- Dundalk, MD
- NPI 1982645495
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- Community/Retail Pharmacy
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- Public Health or Welfare Agency
- Clearwater, FL
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Locations
6005 Madison Ave
Carmichael, CA 95608
Phone (916) 534-1162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1083015481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 MADISON AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 MADISON AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080521",
"telephone_number": "916-534-1162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-04",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "MARKET HEALTH WELLNESS DIRECTOR",
"authorized_official_telephone_number": "479-899-5685"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "64873",
"primary": true
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "CA",
"license": "64873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.