Active NPI
Walmart
- Community/Behavioral Health Agency
- Uniontown, KS
National Provider Identifier
1114390812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 11748
- 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, 2015
- 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
- James Jefferis
- Title
- RPH
- Phone
- (620) 215-1618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.