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Walmart Pharmacy 0079

Pharmacist in Joplin, MO · enumerated 2015 · authorized official Mickey Bowles, Health & Wellness Market Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063886141

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart Pharmacy 0079
Practice address 2623 W 7th St, Joplin, MO, 64801
Phone (417) 624-1111
Fax (417) 624-9094
Enumeration date Nov 30, 2015
Last updated in NPPES Nov 30, 2015

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License 2009013473 (MO) Primary

Authorized official

Name Mickey Bowles
Title Health & Wellness Market Manager
Phone (417) 825-3075

Other identifiers

Identifier Type State Issuer
2009013473 Other MO BOARD OF PHARMACY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Walmart Pharmacy 0079?
NPPES lists Mickey Bowles (Health & Wellness Market Manager) as the authorized official for this organization.
What is the NPI number for Walmart Pharmacy 0079?
The NPI for Walmart Pharmacy 0079 is 1063886141, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-30.