Walmart

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

S020800 Issued in AZ

Legal business name

WALMART

Practice address

7575 W Lower Buckeye Rd
Phoenix, AZ 85043-3450

Phone

(623) 907-0712

NPI assigned

Jun 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark Andrew Eicher, PHARMD

Title

Pharmacist

Phone

(623) 907-0712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1679955504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21024 N 56TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086219",
            "telephone_number": "520-971-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433450",
            "telephone_number": "623-907-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "EICHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "623-907-0712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "S020800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Wallis, M.S., CCC-SLP
• Andrew Caswell Wallmann, M.D.
• Heather Walls
• Iva Marie Walls, PT, DPT, NCS
• Kimberly A Walls, MSN,FNP
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Community Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.