Organization Active NPI

Wal-Mart

  • Community/Retail Pharmacy
  • Alamosa, CO
National Provider Identifier
1538531546
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20933 Issued in CO
Legal business name
WAL-MART
Practice address
3333 Clark St
Pharmacy
Alamosa, CO 81101
Phone
(719) 589-9021
NPI assigned
Oct 29, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Seth Levulis, PHARM.D.
Title
Pharmacist
Phone
(719) 589-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 20933 CO Primary

Addresses

Primary practice location

3333 Clark St
Pharmacy
Alamosa, CO 81101

Mailing address

238 Calle Buena
Alamosa, CO 81101-1800
Phone (720) 636-2261

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1538531546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CALLE BUENA",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811011800",
            "telephone_number": "720-636-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CLARK ST",
            "address_2": "PHARMACY",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-589-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "LEVULIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "719-589-9021",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "20933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.