Organization Active NPI

Walmart

  • Community/Behavioral Health Agency
  • Uniontown, KS
National Provider Identifier
1114390812
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11748 Issued in KS
Legal business name
WALMART
Practice address
1094 Highway 3
Uniontown, KS 66779-8057
Phone
(620) 215-1618
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
James Jefferis
Title
RPH
Phone
(620) 215-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11748 KS Primary

Addresses

Primary practice location

1094 Highway 3
Uniontown, KS 66779-8057

Mailing address

1094 Highway 3
Uniontown, KS 66779-8057
Phone (620) 215-1618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1114390812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 HIGHWAY 3",
            "city": "UNIONTOWN",
            "state": "KS",
            "postal_code": "667798057",
            "telephone_number": "620-215-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 HIGHWAY 3",
            "city": "UNIONTOWN",
            "state": "KS",
            "postal_code": "667798057",
            "telephone_number": "620-215-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "JEFFERIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "620-215-1618"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "11748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.