Walmart Inc.

Community/Retail Pharmacy · Lansing, IL

Organization Active NPI

NPI number 1679590962

Practice location

17625 Torrence Ave
Lansing, IL 60438-4839
Phone
(708) 474-9234
Fax
(708) 474-9302

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NPI record

NPI
1679590962
Entity type
Organization (Type 2)
Enumeration date
July 16, 2006
Last updated
August 29, 2023
Certified
August 29, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 054014489 IL
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445

Authorized official

Name
Sarah Little
Title
Director of Healthcare Contracting
Phone
(479) 277-2500

About Walmart Inc.

Walmart Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 17625 Torrence Ave, Lansing, IL 60438-4839. The NPI number 1679590962 was assigned on July 16, 2006 and the record was last updated on August 29, 2023.

Walmart Inc. lists a license in the registry: #054014489 (IL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Sarah Little, Director of Healthcare Contracting.

Frequently asked questions

What is the NPI number of Walmart Inc.?

The NPI number is 1679590962.

What is the phone number of Walmart Inc.?

The phone number listed for the practice location is (708) 474-9234.

Where is Walmart Inc. located?

17625 Torrence Ave, Lansing, IL 60438-4839.

What is the taxonomy code for Walmart Inc.?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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