NPIMap

Organization Active NPI

Walmart

  • Clinic/Center
  • Riverside, CA
National Provider Identifier
1114477379
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
74600 Issued in CA
Legal business name
WALMART
Practice address
6250 Valley Springs Pkwy
Riverside, CA 92507-0970
Phone
(951) 653-2969
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Kathy Bui, PHARMD
Title
RPH
Phone
(714) 717-7068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 74600 CA Primary

Addresses

Primary practice location

6250 Valley Springs Pkwy
Riverside, CA 92507-0970

Mailing address

6250 Valley Springs Pkwy
Riverside, CA 92507-0970

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2,177 organizations share this tax ID, including this one

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1114477379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 VALLEY SPRINGS PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 VALLEY SPRINGS PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070970",
            "telephone_number": "951-653-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "714-717-7068",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "74600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.