Active NPI
Wal-Mart Stores, Inc
Doing business as Wal-Mart Pharmacy 10-4060
- Community/Retail Pharmacy
- Tempe, AZ
National Provider Identifier
1093055147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WAL-MART STORES, INC
- Doing business as
- Wal-Mart Pharmacy 10-4060
- Practice address
- 671 E Apache Blvd
Suite 128
Tempe, AZ 85281-6717 - Phone
- (480) 967-2307
- NPI assigned
- Feb 27, 2013
- Last updated
- Feb 27, 2013
- Organization subpart
- Yes
- Parent organization
- WAL-MART STORES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deb Lauver
- Title
- Specialist Plan Enrollment
- Phone
- (479) 204-8741
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
671 E Apache Blvd
Suite 128
Tempe, AZ 85281-6717
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other names 1
- Wal-Mart Pharmacy 10-4060
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
- Part of
- Wal Mart Pharmacy 10 2039
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Wal-Mart Pharmacy 10-5901
- Community/Retail Pharmacy
- Gilbert, AZ
- NPI 1073760880
-
dba Walmart Vision Center 30-3360
- Eyewear Supplier
- Chandler, AZ
- NPI 1073601613
Locations
671 E Apache Blvd
Ste 128
Tempe, AZ 85281
Phone (480) 967-2307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1093055147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 E APACHE BLVD",
"address_2": "SUITE 128",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816717",
"telephone_number": "480-967-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES, INC",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "LAUVER",
"authorized_official_first_name": "DEB",
"authorized_official_title_or_position": "SPECIALIST PLAN ENROLLMENT",
"authorized_official_telephone_number": "479-204-8741"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wal-Mart Pharmacy 10-4060",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.