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

Organization subpart

No

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

Authorized official

Name

Hala Gourgy, RPH

Title

Pharmacy Manager

Phone

(949) 837-0504

Specialties & licenses 1

Addresses

Locations

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.
• 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.