NPIMap

Organization Active NPI

Walmart Pharmacy

  • Long Term Care Hospital
  • Albuquerque, NM
National Provider Identifier
1548719040
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
RP00008596 Issued in NM
Legal business name
WALMART PHARMACY
Practice address
301 San Mateo Blvd SE
Albuquerque, NM 87108-5629
Phone
(505) 262-1915
Fax
(505) 268-0059
NPI assigned
Sep 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Authorized official

Name
Morteza Parhizkar, PHARMDNPI 1477088961
Title
Pharmacist
Phone
(505) 506-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X RP00008596 NM Primary

Addresses

Primary practice location

301 San Mateo Blvd SE
Albuquerque, NM 87108-5629

Mailing address

2428 Windward Dr NW
Albuquerque, NM 87120-3698
Phone (505) 506-8660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474761600000",
    "number": "1548719040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 WINDWARD DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203698",
            "telephone_number": "505-506-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAN MATEO BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085629",
            "telephone_number": "505-262-1915",
            "fax_number": "505-268-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "PARHIZKAR",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "505-506-8660",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NM",
            "license": "RP00008596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.