Luis Ernsto Valle

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD17479 Issued in AR

Practice address

4900 Rogers Ave Ste 101J
Fort Smith, AR 72903-2068

Phone

(479) 484-9125

NPI assigned

Aug 28, 2025

Last updated

Aug 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walmart Inc.

  dba Walmart Pharmacy 10-2744

  • Community/Retail Pharmacy
  • Fort Smith, AR
  • NPI 1467471441
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1376422972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 GARY ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035449",
            "telephone_number": "516-984-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ROGERS AVE STE 101J",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032068",
            "telephone_number": "479-484-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "LUIS",
        "middle_name": "ERNSTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD17479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Upchurch
• Urologic Specialists of Oklahoma Inc (Urologic Specialists of Arkansas, P.A.)
• Urology Group of Western Arkansas
• Muhammad Usman, M.D.
• Denise Valentin, R.N.P.
• Valley Group, PLLC (Valley Health Care)
• Valley River Nursing, LLC (River Valley Health & Rehabilitation Center)
• Sheila Van Matre
• Helena Thunhi Van, MS, RD, LD, CNSC
• Tyler Lane Vance

• Pharmacist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.