Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

65121 Issued in CA

Legal business name

WALMART

Practice address

6225 Colony St
Bakersfield, CA 93307-6538

Phone

(661) 832-7997

NPI assigned

Sep 3, 2015

Last updated

Sep 3, 2015By 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

Sally Aziz

Title

Pharmacist

Phone

(661) 832-7997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1497123624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 COLONY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 COLONY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933076538",
            "telephone_number": "661-832-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "661-832-7997"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "65121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jay Wallace, M.D.
• Scott Alan Wallace, DDS
• Lucero Crystal Walle
• Jennifer Gail Waller
• Michael S. Walley, MD
• Walmart Inc. (Walmart Pharmacy 10-3141)
• Walmart Inc. (Walmart Pharmacy 10-1624)
• Walmart Inc. (Walmart Pharmacy 10-2557)
• Walmart Inc. (Walmart Pharmacy 10-1574)
• Walmart Inc. (Walmart Pharmacy 10-3140)

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, 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 Sep 3, 2015; 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.