Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

63611 Issued in CA

Legal business name

WALMART

Practice address

470 N Airport Rd
Willows, CA 95988-9701

Phone

(530) 934-2042

Fax

(530) 934-2021

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Jevonne Service, PHARMD

Title

Market Director

Phone

(479) 295-1552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1376943373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N AIRPORT RD",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959889701",
            "telephone_number": "530-934-2042",
            "fax_number": "530-934-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N AIRPORT RD",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959889701",
            "telephone_number": "530-934-2042",
            "fax_number": "530-934-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SERVICE",
        "authorized_official_first_name": "JEVONNE",
        "authorized_official_title_or_position": "MARKET DIRECTOR",
        "authorized_official_telephone_number": "479-295-1552",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "63611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Vargas
• Lisa Virrueta
• Natalya Volondin, DDS
• Rebecca Layne Vranich, RN
• Thomas L Waggoner, MFT
• Walmart Inc.
• Rivka Leah Weiss, NP
• Cortney Welch
• Western Physical Therapy, Inc.
• Willows Family Practice, Inc.

• Community/Retail Pharmacy in Willows, CA
• Providers in Willows, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.