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WALMART INC. NPI 1215061031


NPI Information

NPI: 1215061031
Provider Name: WALMART INC.

Doing Business As: WALMART PHARMACY 10-3728

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 29D2162738

Address:
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 631-6806
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WALMART INC. is a community/retail pharmacy pharmacy in North Las Vegas, NV. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALMART INC. NPI is 1215061031. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-3728.

The provider's business location address is:

3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV
ZIP 89032-895
Phone: (702) 631-6806
Fax: (702) 631-7983

The provider's authorized official is Sarah Little .
The authorized official title is Director Of Healthcare Contracting and has the following contact phone number (479) 277-2500.

The CLIA number assigned to this NPI record is 29D2162738 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPH02226NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12052225OTHERPK
2100511773MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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