Walmart

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PS 50266 Issued in FL

Legal business name

WALMART

Practice address

9600 Parksouth CT
Orlando, FL 32837-6424

Phone

(479) 586-3101

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Edward Kelly Altman II, PHARM.D

Title

Regional Director

Phone

(479) 586-3101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1679914261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 PARKSOUTH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PARKSOUTH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376424",
            "telephone_number": "479-586-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "479-586-3101",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PS 50266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHARMACIST LICENSE",
            "identifier": "PS 50266",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Waller, BS
• Justin Blaine Waller, OD
• Jake Wallin
• Gracemarie Rosario Walls, PA-C
• Julia Marie Wallster
• Walmed, LLC
• Carol A Walsh, FNP
• Cassandra D Walsh, FNP-BC
• Katherine B Walsh, MD
• Kerry Marie Walsh

• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.