Walmart

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5302033572 Issued in MI

Legal business name

WALMART

Practice address

1920 S Stephenson Ave
Iron Mountain, MI 49801-3641

Phone

(906) 779-7187

Fax

(906) 779-3718

NPI assigned

Jun 16, 2016

Organization subpart

Yes

Parent organization

WALMART PHARMACYAs reported in NPPES

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

Authorized official

Name

Leigh Ann Dighera, PHARMD

Title

Pharmacist

Phone

(906) 779-4236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1396195608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013641",
            "telephone_number": "906-779-7187",
            "fax_number": "906-779-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013641",
            "telephone_number": "906-779-7187",
            "fax_number": "906-779-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALMART PHARMACY",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "DIGHERA",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "906-779-4236",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "5302033572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Waise, B.S. PHARMACY
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2434)
• Wal-Mart Stores East, LP (Vision Center 30-2434)
• Walgreen Co (Walgreens #11953)
• Joseph Lance Walker, PHARMD
• Emily Warren, AT, LAT, ATC
• Jamie Ann Warren, RN
• Jeannie M Waschow, DPM
• Barbara Ann Washington, MD
• Phyllis Ionie Watson-Williams, M.D.

• Community/Behavioral Health Agency in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.