Walmart Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

26478 Issued in NC

Legal business name

WALMART PHARMACY

Practice address

3000 E Franklin Blvd
Gastonia, NC 28056-9451

Phone

(704) 868-2095

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Syeda Humaira Ali

Title

Pharmacist

Phone

(630) 615-8002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1679015309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569451",
            "telephone_number": "704-868-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_middle_name": "HUMAIRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "630-615-8002"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina M Walker, LCSWA
• Michael William Walker, MD
• Tawana Cherise Walker, LCMHC, NCC
• Maranda Dorothea Wallace, LCMHCA
• Samanda Justine Wallace
• Kevin Patrick Walsh
• Lauren Walters
• Andrea Shelly Walton, RN
• Tabitha Phillips Walton, RDH
• Natalie Lee Walz, AGACNP-BC

• Pharmacist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.