WAL-MART PHARMACY 10-0208
NPI 1912924325
Pharmacy - Community/Retail Pharmacy in Baxter Springs, KS

Active since July 16, 2006
2970 MILITARY AVE, BAXTER SPRINGS, KS 66713(620) 856-5196 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About WAL-MART PHARMACY 10-0208

This page provides the complete NPI Profile along with additional information for Wal-mart Pharmacy 10-0208, a provider established in Baxter Springs, Kansas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1912924325 assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 209550 (KS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Wal-mart Pharmacy 10-0208. The authorized official of this NPI record is Laura Levine (Mgr Of Government Contracting)

NPI
1912924325 Verify this NPI
Provider Legal Name
WAL-MART STORES INC
Other Organization Name
WAL-MART PHARMACY 10-0208
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2970 MILITARY AVE BAXTER SPRINGS, KS 66713
Location Phone
(620) 856-5196
Mailing Address
702 SW 8TH ST BENTONVILLE, AR 72716
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-16-2006
Last Update Date
07-10-2013
Code Navigator

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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
209550
License State
KS
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 

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

LAURA LEVINE

Authorized Official Title
MGR OF GOVERNMENT CONTRACTING
Authorized Official Phone
(479) 204-8550

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
100433160BMEDICAID (05)KS 
6010831836MEDICAID (05)KS 
2025972OTHER (01)PK
0279611258MEDICARE NSC (07) 

Reviews for WAL-MART PHARMACY 10-0208

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
2970 MILITARY AVE
BAXTER SPRINGS, KS 66713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912924325, enumerated as an "organization" on July 16, 2006.

The provider is located at 2970 MILITARY AVE BAXTER SPRINGS, KS 66713 and the phone number is (620) 856-5196.

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

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