Organization
WAL-MART STORES, INC.
Active
Organization
WAL-MART STORES, INC.
Active
Parent organization
WAL-MART STORES INC
Other names
WAL-MART PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
DIANNA PAINTER (TP ENROLLMENT SPECIALIST)
(479) 277-1238
Entity
Organization
Contact information
Practice address
912 11TH STREET EAST, BOTTINEAU, ND 58318
(701) 228-5930
Mailing address
MAIL STOP 0445, 702 SW 8TH ST, BENTONVILLE, AR 72716
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3504481
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/16/2008
Last updated
02/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up