WALMART
NPI 1669871869
Pharmacist in Port Orchard, WA

NPI Status: Active since August 14, 2014

Contact Information

3497 BETHEL RD SE
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 874-9063
Fax: (360) 874-0071

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  • Organization
  • Pharmacist
  • CLIA Number: 50D2174941
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-04-2028

About WALMART

This page provides the complete NPI Profile along with additional information for Walmart, a provider established in Port Orchard, Washington operating as a Pharmacist. The healthcare provider is registered in the NPI registry with number 1669871869 assigned on August 2014. The practitioner's primary taxonomy code is 183500000X with license number PH60031151 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Micajah Jenkins (Pharmacist)

NPI
1669871869
Provider Name
WALMART
Entity Type
Organization
Location Address
3497 BETHEL RD SE PORT ORCHARD, WA 98366
Location Phone
(360) 874-9063
Location Fax
(360) 874-0071
Mailing Address
6690 REGENCY DR SE NONE PORT ORCHARD, WA 98367
Mailing Phone
(253) 509-2176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2014
Last Update Date
08-14-2014
Code Navigator

A pharmacist like Walmart fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
PH60031151
License State
WA
Taxonomy Description
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICAJAH JENKINS

Authorized Official Title
PHARMACIST
Authorized Official Phone
(253) 509-2176

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PH60031151OTHER (01)WAPHARMACIST LICENSE

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 this NPI number is:

CLIA Number
50D2174941
Facility Type
Pharmacy
Certificate Effective Date
November 12, 2019
Certificate Expiration Date
April 04, 2028
Laboratory Director
TONY TONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walmart 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.

Reviews for WALMART

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669871869, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 6 + 7 + 2 + 8 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1669871869.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Eyewear Supplier
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Optometrist
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacy (Community/Retail Pharmacy)
3497 BETHEL RD SE
PORT ORCHARD, WA 98366
Pharmacist
3497 BETHEL RD SE
PORT ORCHARD, WA 98366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669871869, enumerated as an "organization" on August 14, 2014.

The provider is located at 3497 BETHEL RD SE PORT ORCHARD, WA 98366 and the phone number is (360) 874-9063.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.