Active NPI
Wal-Mart Stores East LP
Doing business as Wal-Mart Pharmacy
- Community/Retail Pharmacy
- Springdale, AR
National Provider Identifier
1740426824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WAL-MART STORES EAST LP
- Doing business as
- Wal-Mart Pharmacy
- Practice address
- 3553 E Robinson Ave
Springdale, AR 72764 - Phone
- (479) 750-2903
- NPI assigned
- Dec 19, 2008
- Last updated
- Dec 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianna Painter
- Title
- Pharmacy Enrollment Specialist
- Phone
- (479) 277-1238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
3553 E Robinson Ave
Springdale, AR 72764
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423020 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Wal-Mart Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Walmart Vision Center 30-3212
- Eyewear Supplier
- Bentonville, AR
- NPI 1245770759
-
dba Walmart pharmacy 10-3164
- Community/Retail Pharmacy
- Bentonville, AR
- NPI 1730955659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229644800000",
"number": "1740426824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727166209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 E ROBINSON AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764",
"telephone_number": "479-750-2903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES EAST LP",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A",
"authorized_official_last_name": "PAINTER",
"authorized_official_first_name": "DIANNA",
"authorized_official_title_or_position": "PHARMACY ENROLLMENT SPECIALIST",
"authorized_official_telephone_number": "479-277-1238"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0423020",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wal-Mart Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springdale, AR
- Richard Waggoner
- Sameer Umakant Wagle, MD
- Raymond Dale Wagoner, M.S., LPC
- Joanna Wakefield, AUD CCC-A
- La'Troy Dante Wakefield, MHPP
- Wal-Mart Stores, Inc. (Vision Center 30-0054)
- Wal-Mart Stores, Inc. (Walmart Vision Center 30-4108)
- Walgreen Co (Walgreens #12670)
- Walgreen Co (Walgreens #05041)
- Walgreen Co (Walgreens #13811)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.