Walmart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12598 Issued in SC

Legal business name

WALMART

Practice address

125 Maryport Drive
Myrtle Beach, SC 29575

Phone

(843) 232-0495

Fax

(843) 232-0497

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Kathleen Voso, PHARMD

Title

Pharmacist

Phone

(843) 232-0495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1972923738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MARYPORT DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29575",
            "telephone_number": "843-232-0495",
            "fax_number": "843-232-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MARYPORT DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29575",
            "telephone_number": "843-232-0495",
            "fax_number": "843-232-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "VOSO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-232-0495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina Walker, LMFT
• Rebecca L Walker, PTA
• William Ashton Wall, MD
• Jeffrey H Wallen, DDS
• Charles T Walls Jr., MD
• Walser Inc. D/B/a Avada Hearing Center
• Jenna Walter, PT, DPT
• Lauren Walter, CCC-SLP
• Renee Ellen Walter, APN
• Rebecca Walters, MED ATC

• Community/Retail Pharmacy in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.