Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S021763 Issued in AZ

Legal business name

WALMART

Practice address

1120 N. Opal Dr.
Prescott, AZ 86303

Phone

(845) 242-7811

NPI assigned

Mar 9, 2016

Last updated

Mar 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Tompkins

Title

Pharmacist

Phone

(845) 242-7811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1154782845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N OPAL DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N. OPAL DR.",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "845-242-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "845-242-7811"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S021763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #02555)
• Alan Paul Walicke, CCC-SLP
• Laurie Jill Walker, M.S.W.
• Lorna Ann Walker, PH.D., BCHN
• Todd W Walker, D.M.D., M.S.
• Walmart Inc.
• Walmart Inc.
• Walmart, Inc.
• Alan S Walters, MD
• Karissa Jean Walton, NMD

• Community/Retail Pharmacy in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.