WALMART PHARMACY 10 0764 NPI 1578937942
Pharmacy (Community/Retail Pharmacy) in Bessemer, AL
About WALMART PHARMACY 10 0764
Walmart Pharmacy 10 0764 is a provider established in Bessemer, Alabama specializing in pharmacy (community/retail pharmacy) . The NPI number of Walmart Pharmacy 10 0764 is 1578937942 and was assigned on November 2015. The practitioner's primary taxonomy code is 3336C0003X with license number 17114 (AL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ryan Stalker Pharm.d. (Pharmacy Manager)
Walmart Pharmacy 10 0764 is a medicare supplier with PTAN 4355051634 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Canes and/or Crutches or Walkers or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.
The CLIA number of Walmart Pharmacy 10 0764 is 01D2158412 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Walmart Pharmacy 10 0764 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
| NPI | 1578937942 |
| Provider Name | WALMART PHARMACY 10 0764 |
| Provider Location Address | 750 ACADEMY DR BESSEMER, AL 35022 |
| Provider Mailing Address | 750 ACADEMY DR BESSEMER, AL 35022 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 11-21-2015 |
| Last Update Date | 11-21-2015 |
Primary Taxonomy
| Taxonomy Code | 3336C0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Community/Retail Pharmacy |
| License No. | 17114 |
| License State | AL |
| Taxonomy Description | 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. |
Business Address
WALMART PHARMACY 10 0764
750 ACADEMY DR
BESSEMER, AL
ZIP 35022
Phone: (205) 424-5895
Fax: (205) 424-5897
Mailing Address
WALMART PHARMACY 10 0764
750 ACADEMY DR
BESSEMER, AL
ZIP 35022
Phone: (205) 424-5895
Fax: (205) 424-5897
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 4355051634 |
| Accepts Medicare Assignment | NO |
| Specialities List | Pharmacy, Optician. |
| Supplies List |
|
| Competitive Bidding | NO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1578937942 is:
| CLIA Number | 01D2158412 |
| Facility Type | PHARMACY |
| Certificate Type | Certificate of Waiver |
Other Providers at the same location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366811952 | DR. JULIA M PRICE PHARMD Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1821106626 | DR. CHRISTOPHER COLEMAN CARTER O.D. Individual | Optometrist | 750 ACADEMY DR WALMART VISION CENTER BESSEMER, AL 35022 (205) 424-5810 |
| 1295109668 | RYAN CHRISTOPHER STALKER PHARM.D. Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1326413725 | JENNIFER CURREN RPH Individual | Pharmacist (Ambulatory Care) | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1366469678 | WAL-MART STORES EAST LP Organization | Pharmacy (Community/Retail Pharmacy) | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1194248765 | STEVEN SCOTT HOLLOWAY PHARMD Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 |
| 1184104846 | ASHLEY NICOLE NAIL PHARMD Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1780153437 | RACHEL HILL PHARMD Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1598227142 | DR. MEGAN VAUGHAN PHARM D Individual | Pharmacist | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5895 |
| 1548341910 | WAL-MART STORES EAST, LP Organization | Technician/Technologist (Optician) | 750 ACADEMY DR BESSEMER, AL 35022 (205) 424-5890 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.