Active NPI
Walmart
- Pharmacist
- Wenatchee, WA
National Provider Identifier
1437606167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-00015989
- Legal business name
- WALMART
- Practice address
- 1130 Pitcher Canyon Rd
Wenatchee, WA 98801-9446 - Phone
- (509) 264-4994
- NPI assigned
- Sep 11, 2016
- Last updated
- Sep 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Wayne Fischer, RPH
- Title
- Pharmacist
- Phone
- (509) 264-4994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-00015989 | WA | Primary |
Addresses
Primary practice location
1130 Pitcher Canyon Rd
Wenatchee, WA 98801-9446
Mailing address
1399 Nat Washington Way
Ephrata, WA 98823-2629
Phone (509) 754-8847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 00015989 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH/PHARMACIST LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Wal-Mart Vision Center 30-3525
- Eyewear Supplier
- Puyallup, WA
- NPI 1508929696
-
- Community/Retail Pharmacy
- Ephrata, WA
- NPI 1386661411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473552000000",
"number": "1437606167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 NAT WASHINGTON WAY",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988232629",
"telephone_number": "509-754-8847",
"fax_number": "509-754-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 PITCHER CANYON RD",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988019446",
"telephone_number": "509-264-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALMART",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-11",
"last_updated": "2016-09-11",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "509-264-4994",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH-00015989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH/PHARMACIST LICENSE",
"identifier": "PH 00015989",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.