Walmart

Primary specialty

PharmacyTaxonomy code 333600000X

License

121801 Issued in MN

Legal business name

WALMART

Practice address

7295 Glory Rd
Baxter, MN 56425-7308

Phone

(218) 829-5510

NPI assigned

Nov 24, 2015

Last updated

Nov 24, 2015By 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

Spencer Page

Title

Manager

Phone

(218) 829-5510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1225402571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 GLORY RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257308",
            "telephone_number": "218-829-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7295 GLORY RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257308",
            "telephone_number": "218-829-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "218-829-5510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "121801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Wager
• Lily S Wagner, MSW, LICSW
• Wal-Mart Stores, Inc. (Vision Center 30-1654)
• Walk Beside You LLC
• Kimberly Wallgren, MSW, LICSW
• Walmart Inc. (Walmart Pharmacy 10-1654)
• Kurtis Allen Waters, M.D.
• Marko Joe Webster, PA-C, DPT
• Sarah Beth Wedel, DNP, APRN, FNP-BC
• Paige Welle, LPCC

• Pharmacy in Baxter, MN
• Providers in Baxter, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.