Walmart

Primary specialty

PharmacistTaxonomy code 183500000X

License

55659 Issued in TX

Legal business name

WALMART

Practice address

1102 US Highway 271 N
Gilmer, TX 75644-5237

Phone

(903) 797-6237

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Cory Collins

Title

Market Health & Wellness Director

Phone

(903) 663-9387

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred Mudoh

  • Pharmacist
  • Longview, TX
  • NPI 1285188714
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1346611928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CREPE MYRTLE LN",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046906",
            "telephone_number": "832-202-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 US HIGHWAY 271 N",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445237",
            "telephone_number": "903-797-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "MARKET HEALTH & WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "903-663-9387"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Hill Isd
• Upshur Emergency Medicine Associates PA
• Eleazar Vera Jr., MD
• VMC Medgroup Inc
• Wal-Mart Stores Texas LLC
• Ariel Wayne
• Joshua Robert Welborn
• Wesley Partners, LTD.
• Crystal Lynn Widemon, APRN
• Stephen Ray York, A.T.,C.

• Pharmacist in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.