Wal-Mart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1-100436 Issued in KS

Legal business name

WAL-MART PHARMACY

Practice address

2200 S Rock Rd
Apartment 1014
Wichita, KS 67207-5300

Phone

(734) 945-9043

NPI assigned

Oct 15, 2016

Last updated

Oct 15, 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

Munjal Attawala

Title

Pharmacist

Phone

(734) 945-9043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476489600000",
    "number": "1548711484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S ROCK RD",
            "address_2": "APARTMENT 1014",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S ROCK RD",
            "address_2": "APARTMENT 1014",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075300",
            "telephone_number": "734-945-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-15",
        "last_updated": "2016-10-15",
        "status": "A",
        "authorized_official_last_name": "ATTAWALA",
        "authorized_official_first_name": "MUNJAL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-945-9043"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "1-100436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Wait, ARNP
• Elizabeth Waite
• Alexis Wakeham, PTA
• Christina Marie Wakeman, LAC-ST
• Antoine E Wakim, DDS
• Wal-Mart Store, Inc. (Vision Center 30-4321)
• Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-5856)
• Wal-Mart Stores, Inc. (Vision Center 30-1221)
• Wal-Mart Stores, Inc. (Vision Center 30-1099)
• Wal-Mart Stores, Inc.

• Community/Retail Pharmacy in Wichita, KS
• Providers in Wichita, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.