WALMART
NPI 1861860470
Pharmacy - Community/Retail Pharmacy in Kankakee, IL

Active since September 14, 2015
505 RIVERSTONE PKWY, KANKAKEE, IL 60901(708) 926-4743 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About WALMART

This page provides the complete NPI Profile along with additional information for Walmart, a provider established in Kankakee, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1861860470 assigned on September 2015. The practitioner's primary taxonomy code is 3336C0003X with license number 051.298761 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Amanda Kerr Pharmd (Pharmacist)

NPI
1861860470 Verify this NPI
Provider Name
WALMART
Entity Type
Organization
Location Address
505 RIVERSTONE PKWY KANKAKEE, IL 60901
Location Phone
(708) 926-4743
Mailing Address
505 RIVERSTONE PKWY KANKAKEE, IL 60901
Mailing Phone
(708) 926-4743
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2015
Last Update Date
09-14-2015
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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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
051.298761
License State
IL
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.

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

AMANDA KERR PHARMD

Authorized Official Title
PHARMACIST
Authorized Official Phone
(708) 926-4743

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
505 RIVERSTONE PKWY
KANKAKEE, IL 60901
Eyewear Supplier
505 RIVERSTONE PKWY
KANKAKEE, IL 60901
Pharmacist
505 RIVERSTONE PKWY
KANKAKEE, IL 60901
Pharmacist
505 RIVERSTONE PKWY
KANKAKEE, IL 60901
Pharmacy (Community/Retail Pharmacy)
505 RIVERSTONE PKWY
KANKAKEE, IL 60901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861860470, enumerated as an "organization" on September 14, 2015.

The provider is located at 505 RIVERSTONE PKWY KANKAKEE, IL 60901 and the phone number is (708) 926-4743.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.