Walmart Pharmacy #2836

Primary specialty

PharmacistTaxonomy code 183500000X

License

12286 Issued in NC

Legal business name

WALMART PHARMACY #2836

Practice address

1051 E Broad St
Fuquay Varina, NC 27526-1799

Phone

(919) 567-9130

Fax

(919) 567-1488

NPI assigned

Sep 5, 2014

Last updated

Sep 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Rollins, RPHNPI 1447651302

Title

Pharmacy Manager

Phone

(919) 567-9130

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Rollins

  • Pharmacist
  • Fuquay Varina, NC
  • NPI 1447651302
  Authorized official Same address or phone

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1912308289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261799",
            "telephone_number": "919-567-9130",
            "fax_number": "919-567-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261799",
            "telephone_number": "919-567-9130",
            "fax_number": "919-567-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART PHARMACY #2836",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-567-9130",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Walker
• William T Walker Jr., RPH
• Brook Stephen Wallace, DC
• Travis Wallace, PHARMD
• Megan Alise Waller
• Sara Walter, PH.D., LPCA
• Kerrie Walters, LCSWA
• Melanie Wang, MS, CCC-SLP
• Warmth & Wisdom Home Care
• Rukiayah Asha Warner-Moxley, MD

• Pharmacist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.