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WAL-MART PHARMACY 30-5864
NPI 1700120136
Eyewear Supplier in Gardnerville, NV

Active since November 26, 2012
1511 GRANT ST, GARDNERVILLE, NV 89410(775) 782-6393 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Wal-mart Pharmacy 30-5864 NPPES

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

WAL-MART PHARMACY 30-5864 (NPI 1700120136) is a healthcare organization registered as an eyewear supplier in Gardnerville, Nevada and active in the NPI registry since November 2012. The organization lists Amy Powers, Specialist, Plan Enrollment, as its authorized official.

NPPES Registry Identity

NPI1700120136
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES INC
Location Address1511 GRANT STGardnerville, NV 89410-7824
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(775) 782-6393
Organization SubpartYes
Authorized OfficialAmy PowersSpecialist, Plan Enrollment · (479) 204-0709
Enumeration DateNovember 26, 2012
✔ NPI 1700120136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
1511 GRANT ST, Gardnerville, NV 89410
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Other Names 1

Doing Business AsWal-mart Pharmacy 30-5864

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wal-Mart Stores Inc's NPI number?

The NPI number for Wal-Mart Stores Inc is 1700120136. It was assigned to this organization in the NPPES registry on November 26, 2012. The provider is doing business as Wal-Mart Pharmacy 30-5864.

Where is Wal-Mart Stores Inc located?

Wal-Mart Stores Inc is located at 1511 Grant St, Gardnerville, NV 89410. The listed phone number is (775) 782-6393.

What is Wal-Mart Stores Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores Inc was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.