Walmart Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

027503 Issued in NY

Legal business name

WALMART PHARMACY

Practice address

143 Pleasant Meadows Rd
Cooperstown, NY 13326-5039

Phone

(607) 547-7115

Fax

(607) 431-9206

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Killian, RPH

Title

Pharmacy Manager

Phone

(607) 431-9832

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joseph Lentini, RPH

  • Pharmacist
  • Oneonta, NY
  • NPI 1609193259
  NPD (past)

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1629390968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PLEASANT MEADOWS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265039",
            "telephone_number": "607-547-7115",
            "fax_number": "607-431-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PLEASANT MEADOWS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265039",
            "telephone_number": "607-547-7115",
            "fax_number": "607-431-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "607-431-9832",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhianna Wagner, RD
• Stephanie Ann Waldman, MD
• Craig S Walike, M.D.
• Emma Wallace
• Nancy Wallace, FNP
• Tina Marie Walsh, DO
• Katherine E Waltz, R.D.
• Nicole Kristine Wannamaker
• William Charles Wassel, M.D.
• Paul Steven Weber, D.D.S.

• Pharmacy in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.