Walmart Stores Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S022786 Issued in AZ

Legal business name

WALMART STORES INC.

Practice address

1741 E. Florence Blvd
Casa Grande, AZ 85122

Phone

(520) 208-0869

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Gabriel Navoa

Title

Pharmacist

Phone

(520) 208-0869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1770095317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 E. FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-208-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "NAVOA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "520-208-0869"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S022786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaye Spilsbury Walker, R.N.
• Savannah Marie Walker, MPAS
• Rebecca H. Wallace, RN06
• Jon Ryan Wallis, DMD
• Walmart Inc. (Walmart Pharmacy 10-1218)
• Walmart, Inc. (Walmart Vision Center 30-1218)
• Karen Walter, FP
• Thomas Walter, MS, LAC, LISAC
• Grant D. Walton, DMD
• Jack Wang

• Community/Retail Pharmacy in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.