Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH60665016 Issued in WA

Legal business name

WALMART

Practice address

1399 Nat Washington Way
Ephrata, WA 98823-2629

Phone

(509) 754-8847

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 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

Fionna Chin ChauNPI 1811439094

Title

Pharmacist

Phone

(413) 386-7533

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fionna Chau

  • Pharmacist
  • Ephrata, WA
  • NPI 1811439094
  NPD (past) Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1609325455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N GRAPE DR",
            "address_2": "APT B105",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374052",
            "telephone_number": "413-386-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988232629",
            "telephone_number": "509-754-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "FIONNA",
        "authorized_official_middle_name": "CHIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "413-386-7533"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PH60665016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Marie Taylor, LICSW, MSW
• Thrifty Payless Inc (Rite Aid Pharmacy 06347)
• Gary Tracy, PHARMACIST
• Wal-Mart Stores, Inc (Vision Center 30-3260)
• Walia Adult Family Homecare LLC
• Walmart Inc.
• Michelle K Walsh
• Charles Michael Webberley, PA-C
• Corallee Elizabeth Weber, LMP
• Aubrey Lynn Weirick, OT/R

• Community/Retail Pharmacy in Ephrata, WA
• Providers in Ephrata, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.