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Wal-Mart Stores Inc

Community/Retail Pharmacy in Coos Bay, OR · enumerated 2006 · authorized official Dianna Painter, Pharmacy Enrollment Specialist.

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

National Provider Identifier

1558380568

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores Inc
Other name <Unavail>
Practice address 1900 Woodland Dr, Coos Bay, OR, 97420
Enumeration date Jul 19, 2006
Last updated in NPPES Dec 24, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 0000745CS (OR) Primary

Authorized official

Name Dianna Painter
Title Pharmacy Enrollment Specialist

Other identifiers

Identifier Type State Issuer
3811444 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
3811444 Other - OTHER ID NUMBER
292968 Other OR MEDICAID-DME
124243 Medicaid OR -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Wal-Mart Stores Inc?
Wal-Mart Stores Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-24.