WALMART PHARMACY 10 0764 NPI 1578937942

Pharmacy (Community/Retail Pharmacy) in Bessemer, AL

NPI 1578937942 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment CLIA Number 01D2158412 CLIA Certificate of Waiver

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 NameWALMART PHARMACY 10 0764
Provider Location Address750 ACADEMY DR BESSEMER, AL 35022
Provider Mailing Address750 ACADEMY DR BESSEMER, AL 35022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-21-2015
Last Update Date11-21-2015


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.17114
License StateAL
Taxonomy DescriptionA 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

Get Directions


Mailing Address

WALMART PHARMACY 10 0764
750 ACADEMY DR
BESSEMER, AL
ZIP 35022
Phone: (205) 424-5895
Fax: (205) 424-5897



Authorized Official

Authorized Official Name RYAN STALKER PHARM.D.
Authorized Official TitlePHARMACY MANAGER
Authorized Official Phone(205) 424-5895

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN4355051634
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Optician.
Supplies List
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

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 Number01D2158412
Facility TypePHARMACY
Certificate TypeCertificate 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
1366811952DR. JULIA M PRICE PHARMD
Individual
Pharmacist750 ACADEMY DR
BESSEMER, AL 35022
(205) 424-5895
1821106626DR. CHRISTOPHER COLEMAN CARTER O.D.
Individual
Optometrist750 ACADEMY DR WALMART VISION CENTER
BESSEMER, AL 35022
(205) 424-5810
1295109668 RYAN CHRISTOPHER STALKER PHARM.D.
Individual
Pharmacist750 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
1366469678WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)750 ACADEMY DR
BESSEMER, AL 35022
(205) 424-5895
1194248765 STEVEN SCOTT HOLLOWAY PHARMD
Individual
Pharmacist750 ACADEMY DR
BESSEMER, AL 35022
1184104846 ASHLEY NICOLE NAIL PHARMD
Individual
Pharmacist750 ACADEMY DR
BESSEMER, AL 35022
(205) 424-5895
1780153437 RACHEL HILL PHARMD
Individual
Pharmacist750 ACADEMY DR
BESSEMER, AL 35022
(205) 424-5895
1598227142DR. MEGAN VAUGHAN PHARM D
Individual
Pharmacist750 ACADEMY DR
BESSEMER, AL 35022
(205) 424-5895
1548341910WAL-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.