OrganizationActive
Walmart Pharmacy 0079
NPI 1063886141 · Pharmacist · Joplin, MO
Walmart Pharmacy 0079 is a Pharmacist organization in Joplin, MO (NPI 1063886141).
Provider details
- NPI number
- 1063886141
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Mickey Bowles, Health & Wellness Market Manager(417) 825-3075
- License
- 2009013473 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2623 W 7th St
Joplin, MO 64801-3300
Phone: (417) 624-1111
Fax: (417) 624-9094
Street-level locationGet directions
Mailing address
2623 W 7th St
Joplin, MO 64801-3300
Registry dates
- Enumerated
- 2015-11-30
- Last updated
- 2015-11-30
Frequently asked questions
- What is Walmart Pharmacy 0079's NPI number?
- Walmart Pharmacy 0079's National Provider Identifier (NPI) is 1063886141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Pharmacy 0079?
- Walmart Pharmacy 0079 is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Walmart Pharmacy 0079 located?
- Walmart Pharmacy 0079's practice location on file with NPPES is 2623 W 7th St, Joplin, MO 64801-3300.
- What is Walmart Pharmacy 0079's phone number?
- The practice phone number listed in the NPPES registry for Walmart Pharmacy 0079 is (417) 624-1111.
- Who is the authorized official for Walmart Pharmacy 0079?
- The authorized official listed on Walmart Pharmacy 0079's NPPES record is Mickey Bowles, Health & Wellness Market Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Pharmacy 0079's NPI active?
- Yes — Walmart Pharmacy 0079's NPI (1063886141) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.