Walmart Pharmacy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

66773 Issued in CA

Legal business name

WALMART PHARMACY

Practice address

4001 Hallmark Pkwy
San Bernardino, CA 92407-1876

Phone

(909) 880-3652

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Rosemary Nwakaego Anyanwu

Title

Pharmacy Manager

Phone

(909) 880-3652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1629487616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 HALLMARK PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071876",
            "telephone_number": "909-880-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 HALLMARK PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071876",
            "telephone_number": "909-880-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "NWAKAEGO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "909-880-3652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "66773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan O'Brien Wallace, PSY. D.
• Christa Ann Wallis, LMFT
• Antonia Walls
• Mysheva Walls
• Walmart Inc.
• Eugene Walper
• Zarah Walter
• Ian Walters, MD, MA
• Nicholas Walther, PA-C
• Mary Virginia Walthers

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.