Walmart

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PH60584318 Issued in WA

Legal business name

WALMART

Practice address

1601 NW Louisiana Ave
Chehalis, WA 98532-1700

Phone

(360) 748-0858

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

John Smasal, RPH

Title

M540 Health and Wellness Director

Phone

(360) 253-1202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1407209505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650147",
            "telephone_number": "206-941-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW LOUISIANA AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985321700",
            "telephone_number": "360-748-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "SMASAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "M540 HEALTH AND WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "360-253-1202",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PH60584318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Therese Wagonblast, ARNP
• Wal-Mart Stores, Inc
• Walgreen Co
• Eva Donna Walker, O.D.
• Richard R Walker, DDS
• Walmart Inc.
• Bruce Walton, M.A.,WA LICENSED
• Ontario O'Shawn Ward, DDS
• Alyssa Dawn Ware, DPT
• Trena Rae Wark

• Community/Behavioral Health Agency in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.