Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S016937 Issued in AZ

Legal business name

WALMART

Practice address

1260 E Tucson Marketplace Blvd
Tucson, AZ 85713-6508

Phone

(520) 917-3105

Fax

(520) 917-1956

NPI assigned

Sep 28, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Ann Gomez, RPH

Title

Pharmacist

Phone

(520) 661-3144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411862400000",
    "number": "1841693462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E TUCSON MARKETPLACE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136508",
            "telephone_number": "520-917-3105",
            "fax_number": "520-917-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E TUCSON MARKETPLACE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136508",
            "telephone_number": "520-917-3105",
            "fax_number": "520-917-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "520-661-3144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S016937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salley A Wallin, LCSW, MSW
• Corinne Elizabeth Wallis, PT, DPT
• Helena Wallis, LMT
• Mara Wallisch, PT, DPT
• Chloe Grace Walls, DMD
• Walmart Inc
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Community/Retail Pharmacy in Tucson, AZ
• Providers in Tucson, 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 Sep 28, 2014; 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.