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

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Haislip DanielNPI 1831636588

Title

Pharmacist

Phone

(252) 535-1170

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Haislip Daniel

  • Pharmacist
  • Roanoke Rapids, NC
  • NPI 1831636588
  Authorized official Same address or phone

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

{
    "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 (Vision Center 30-1502)
• Walgreen Co (Walgreens #07475)
• Walgreen Co (Rite Aid)
• Walgreen Co (Rite Aid)
• Marlo Denise Walker, LCSW-A
• Caitlin Walsh
• Lisa Walters, COTA/L
• Marcus Dayon Watkins, LCMHC
• Tonya Watson, LCSWA
• We R One LLC

• Community/Retail Pharmacy in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• 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.