Wal-Mart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY408530 Issued in CA

Legal business name

WAL-MART

Practice address

26502 Towne Centre Dr
Foothill Ranch, CA 92610-3448

Phone

(949) 837-0504

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hala Gourgy, RPHNPI 1659860484

Title

Pharmacy Manager

Phone

(949) 837-0504

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hala Gourgy

  • Pharmacist
  • Foothill Ranch, CA
  • NPI 1659860484
  Authorized official Same address or phone

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1447650254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22612 MOJAVE LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911519",
            "telephone_number": "818-256-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26502 TOWNE CENTRE DR",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926103448",
            "telephone_number": "949-837-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "GOURGY",
        "authorized_official_first_name": "HALA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "949-837-0504",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY408530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Victor, PT, DPT
• Parya Visheh
• Vital Vita Health, LLC
• Vu Le, DDS, Inc.
• Natalie Wade, RN
• Walmart Inc. (Walmart Pharmacy 10-2218)
• Natalie Weber, DO
• Brian Michael Yee, DO
• Hiroki Yokoyama, PT,DPT
• Tse Fai Yuen, D.M.D.

• Community/Retail Pharmacy in Foothill Ranch, CA
• Providers in Foothill Ranch, 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 28, 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.