Walmart

Primary specialty

PharmacistTaxonomy code 183500000X

License

63867 Issued in CA

Legal business name

WALMART

Practice address

13425 Community Rd
Poway, CA 92064-4723

Phone

(858) 486-1801

Fax

(858) 486-1803

NPI assigned

Jul 17, 2016

Organization subpart

No

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

Authorized official

Name

Joyce Grilo

Title

MHWD

Phone

(479) 418-6159

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1366895104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 COMMUNITY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644723",
            "telephone_number": "858-486-1801",
            "fax_number": "858-486-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 COMMUNITY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644723",
            "telephone_number": "858-486-1801",
            "fax_number": "858-486-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "GRILO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MHWD",
        "authorized_official_telephone_number": "479-418-6159"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raihana Wali
• David John Walker, RN
• Kristie Lynn Walker, L.AC.
• Theresa M. Walker, LCSW
• Jessica Wallace
• Walmart Inc.
• Walmart Stores, Inc.
• Jodie Walters
• Stephanie O Wan, MA
• Jadelyn Thanh Wang, LMFT

• Pharmacist in Poway, CA
• Providers in Poway, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.