Walmart

Primary specialty

PharmacistTaxonomy code 183500000X

License

51893 Issued in TX

Legal business name

WALMART

Practice address

1400 McCreary Rd
Wylie, TX 75098-8776

Phone

(972) 202-4007

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By 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

Melehia Ann Frauenholtz, PHARM.D

Title

R.PH.

Phone

(972) 202-4007

Specialties & licenses 3

Addresses

Other identifiers 3

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1487013033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MCCREARY RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988776",
            "telephone_number": "972-202-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MCCREARY RD",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988776",
            "telephone_number": "972-202-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "FRAUENHOLTZ",
        "authorized_official_first_name": "MELEHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "972-202-4007",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22672",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51299222",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "463181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PARMACY",
            "identifier": "51893",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA STATE BOARD OF PHARMACY",
            "identifier": "22672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Wakeem, M.A., L.P.C.
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5210)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-6078)
• Wal-Mart Stores Texas, LLC (Wal-Vision Center 30-5210)
• Walgreen Co (Walgreens #06329)
• Cotrina Washington, LPC ASSOCIATE
• Celeste Watkins
• Sara Elizabeth Watkins, OT
• Torshia D. Watson
• Cicely Quade Webb, DDS

• Pharmacist in Wylie, TX
• Providers in Wylie, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.