NPIMap

Organization Active NPI

Wal Mart

  • Pharmacist
  • Cary, NC
National Provider Identifier
1881064335
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16572 Issued in NC
Legal business name
WAL MART
Practice address
2010 Kildaire Farm Rd
Cary, NC 27518-6614
Phone
(919) 852-0749
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. Constantine Michael Makhuli, PHARM.D.
Title
Pharmacist
Phone
(919) 852-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16572 NC Primary

Addresses

Primary practice location

2010 Kildaire Farm Rd
Cary, NC 27518-6614

Mailing address

2010 Kildaire Farm Rd
Cary, NC 27518-6614
Phone (919) 852-0749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1881064335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186614",
            "telephone_number": "919-852-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186614",
            "telephone_number": "919-852-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MAKHULI",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "919-852-0749",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.