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

Organization subpart

No

Name

Mr. Ashleigh Carpenter

Title

Pharmacist Pharmacy Manager

Phone

(386) 330-2399

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, last updated by the provider on Aug 22, 2020.

{
    "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
• Wal-Mart Stores East, LP
• Walgreen Co
• Lana Ward
• Elvin F Warren III
• Zahoor A. Waseem, MD
• Barrinesha Deshawn Washington, MBA
• Melissa Waybrant-Ennis, APRN, DNP, PMHNP-BC

• All providers in Live Oak, FL
• 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.