Walmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH16140 Issued in FL

Legal business name

WALMART PHARMACY

Practice address

6868 US Hwy129
Live Oak, FL 32060

Phone

(386) 330-2399

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By 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

Mr. Ashleigh Carpenter

Title

Pharmacist Pharmacy Manager

Phone

(386) 330-2399

Specialties & licenses 1

Addresses

Tax ID family

Walmart Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walmart Vision Center #1376

  • Optician
  • Hendersonville, TN
  • NPI 1548333495
  NPD tax ID

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164561882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 US HWY129",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6868 US HWY129",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32060",
            "telephone_number": "386-330-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_title_or_position": "PHARMACIST PHARMACY MANAGER",
        "authorized_official_telephone_number": "386-330-2399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH16140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Trent Vesely, PA-C
• Chad Lewis Wainwright, L.M.T.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2626)
• Wal-Mart Stores East, LP (Vision Center 30-2626)
• Walgreen Co (Walgreens #09724)
• Lana Ward
• Elvin F Warren III
• Zahoor A. Waseem, MD
• Barrinesha Deshawn Washington, MBA
• Melissa Waybrant-Ennis, APRN, DNP, PMHNP-BC

• Community/Retail Pharmacy in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.