Walmart

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

WALMART

Practice address

3290 S Santiam Hwy
Lebanon, OR 97355-3737

Phone

(541) 258-7440

NPI assigned

Sep 30, 2014

Organization subpart

Yes

Parent organization

N/AAs reported in NPPES

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

Authorized official

Name

Dr. Raed Alzahrani

Title

Pharmacy Manager

Phone

(503) 929-0199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1154724540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 TRADE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 S SANTIAM HWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553737",
            "telephone_number": "541-258-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ALZAHRANI",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "503-929-0199",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #11399)
• Ellie Wallace
• Jessica Wallace
• Christopher M B Wallis, PA-C
• Suzanne Walls, MSRMHC, CRC
• Walmart Inc.
• Walmart Inc. (Walmart Pharmacy 10-1775)
• Jude Walsh
• Morgan Wardle
• Maryanne E Warner

• Community Health Clinic/Center in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Community Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.