Walmart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21377 Issued in CO

Legal business name

WALMART PHARMACY

Practice address

11101 S Parker Rd
Parker, CO 80134-4773

Phone

(303) 805-0709

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Moyn

Title

Pharmacist

Phone

(818) 590-2445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1790229748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22006 E HOOVER DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344773",
            "telephone_number": "303-805-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "MOYN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-590-2445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Wall, MS CCC-SLP
• Brenda Lanette Wallace
• Moriah Jasmine Wallace
• Angelina Kelly Viscardi Waller, PA-C
• Walmart Inc.
• Amanda Rachel Waltemeyer, RDH
• Keiyon Walton
• Wanda Good DO, LLC
• Melissa Beth Wang, RN
• Jaymie D Ward, APN

• Community/Retail Pharmacy in Parker, CO
• Providers in Parker, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.