Walmart Pharmacy #0914

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

040660 Issued in MO

Legal business name

WALMART PHARMACY #0914

Doing business as

Walmart

Practice address

1401 Old Exeter Rd
Cassville, MO 65625-9415

Phone

(417) 847-3180

Fax

(417) 847-3650

NPI assigned

Sep 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Swaffer, R.PH.

Title

Assistant Pharmacy Manager

Phone

(417) 847-3180

Specialties & licenses 1

Addresses

Other names 1

• Walmart Doing business as

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1730557331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OLD EXETER RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259415",
            "telephone_number": "417-847-3180",
            "fax_number": "417-847-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 OLD EXETER RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259415",
            "telephone_number": "417-847-3180",
            "fax_number": "417-847-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY #0914",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "SWAFFER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "ASSISTANT PHARMACY MANAGER",
        "authorized_official_telephone_number": "417-847-3180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "040660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Arc of the Ozarks
• The Arc of the Ozarks
• Norman E Tullis, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Brian Francis Walsh, M.A., D.C.
• White Oak Medical, Inc
• Patrick Logan Whitley, PHARMD
• Pamela J Whitlock, FNP
• Amanda K. Winfrey, FNP

• Community/Retail Pharmacy in Cassville, MO
• Providers in Cassville, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.