Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24306 Issued in NC

Legal business name

WALMART

Practice address

251 Premier Blvd
Roanoke Rapids, NC 27870-5076

Phone

(252) 535-1170

NPI assigned

Jan 19, 2017

Organization subpart

No

Name

Amber Haislip Daniel

Title

Pharmacist

Phone

(252) 535-1170

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2017.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1699211300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PREMIER BLVD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PREMIER BLVD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705076",
            "telephone_number": "252-535-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "HAISLIP",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "252-535-1170"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "24306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Marlo Denise Walker, LCSW-A
• Caitlin Walsh
• Lisa Walters, COTA/L
• Marcus Dayon Watkins, LPC, LCAS-A
• Tonya Watson, LCSWA
• We R One LLC

• All providers in Roanoke Rapids, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.