Walmart Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

IN00003920 Issued in NM

Legal business name

WALMART PHARMACY

Practice address

1401 E Navajo Dr
Apt 3104
Hobbs, NM 88240-9433

Phone

(443) 763-1561

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kwadwo Sarfo Kantanka

Title

Pharmacist

Phone

(443) 763-1561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1427501279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E NAVAJO DR APT 3104",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409463",
            "telephone_number": "443-763-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E NAVAJO DR",
            "address_2": "APT 3104",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409433",
            "telephone_number": "443-763-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "SARFO KANTANKA",
        "authorized_official_first_name": "KWADWO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "443-763-1561",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "IN00003920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12793)
• Walgreens
• Derrick Walker, RD
• Amy Denise Wall
• Laura Anne Wallace
• Kim T Ward, MA, CCC/SLP
• Leslie Anne Ward, SLPA
• Jairus Kadeem Warren
• Talya Webb
• John Michael Westbrook, PHD LPCC LMSW

• Pharmacy in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Pharmacy in New Mexico

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