NPIMap

Organization Active NPI

Wal-Mart

  • Community/Retail Pharmacy
  • Mandeville, LA
National Provider Identifier
1699143453
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PST.021136 Issued in LA
Legal business name
WAL-MART
Practice address
3009 E Causeway Approach
Mandeville, LA 70448-3510
Phone
(985) 626-1118
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Lauren Alonna Clutts, PHARMD
Title
Pharmacist
Phone
(501) 328-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PST.021136 LA Primary

Addresses

Primary practice location

3009 E Causeway Approach
Mandeville, LA 70448-3510

Mailing address

3009 E Causeway Approach
Mandeville, LA 70448-3510
Phone (985) 626-1118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1699143453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 E CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483510",
            "telephone_number": "985-626-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 E CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483510",
            "telephone_number": "985-626-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "CLUTTS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ALONNA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-328-3606",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PST.021136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.