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Walmart

Pharmacist in Port Orchard, WA · enumerated 2014 · authorized official Micajah Jenkins, Pharmacist.

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

National Provider Identifier

1669871869

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Registry record

Entity type Organization (Type 2)
Legal business name Walmart
Practice address 3497 Bethel Rd Se, Port Orchard, WA, 98366
Fax (360) 874-0071
Enumeration date Aug 14, 2014
Last updated in NPPES Aug 14, 2014

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License PH60031151 (WA) Primary

Authorized official

Name Micajah Jenkins
Title Pharmacist

Other identifiers

Identifier Type State Issuer
PH60031151 Other WA PHARMACIST LICENSE

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-14. Verify at npiregistry.cms.hhs.gov.
Where is Walmart located?
The practice location on file with NPPES is in Port Orchard, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-14.