WALMART HEALTH NY TELEMEDICINE PLLC
NPI 1417691353
General Practice in Bentonville, AR

Q: What is Walmart Health Ny Telemedicine PLLC's NPI number?

The NPI number for Walmart Health Ny Telemedicine PLLC is 1417691353. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider was formerly known as Pulluru Telemedicine PLLC and Pegus Telemedicine PLLC.

Q: What is Walmart Health Ny Telemedicine PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since April 26, 2022

702 SW 8TH ST # MS 0215, BENTONVILLE, AR 72716(479) 258-2080 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2023, Apr 4, 2023, Apr 26, 2022 (3 updates tracked since 2022).

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About Walmart Health Ny Telemedicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART HEALTH NY TELEMEDICINE PLLC (NPI 1417691353), doing business as Pulluru Telemedicine Pllc, is a healthcare organization registered as a general practice in Bentonville, Arkansas and active in the NPI registry since April 2022. The organization lists Mark Shen, Owner, as its authorized official.

NPPES Registry Identity

NPI1417691353

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameWALMART HEALTH NY TELEMEDICINE PLLC

Location Address702 SW 8TH ST # MS 0215Bentonville, AR 72716-6209

Mailing Address702 Sw 8th St # Ms 0215Bentonville, AR 72716-6209 · (479) 258-2080

Phone(479) 258-2080

Organization SubpartNo

Authorized OfficialMark ShenOwner · (512) 779-7276

Enumeration DateApril 26, 2022

Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2024

✔ NPI 1417691353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedCounselorTaxonomy 101Y00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

702 SW 8TH ST # MS 0215, Bentonville, AR 72716

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Other Names 2

Former Legal Business NamePulluru Telemedicine Pllc

Former Legal Business NamePegus Telemedicine Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WH NJ MEDICAL LLC

General Practice

702 SW 8TH ST # MS 0215
BENTONVILLE, AR 72716

Benton County (479) 258-2080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Health Ny Telemedicine PLLC's NPI number?

The NPI number for Walmart Health Ny Telemedicine PLLC is 1417691353. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider was formerly known as Pulluru Telemedicine PLLC and Pegus Telemedicine PLLC.

Where is Walmart Health Ny Telemedicine PLLC located?

Walmart Health Ny Telemedicine PLLC is located at 702 SW 8th St # Ms 0215, Bentonville, AR 72716. The listed phone number is (479) 258-2080.

What is Walmart Health Ny Telemedicine PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Walmart Health Ny Telemedicine PLLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.