OrganizationActive
Wal-Mart Stores, Inc.
NPI 1104002534 · Community/Retail Pharmacy · Bottineau, ND
Wal-Mart Stores, Inc. is a Community/Retail Pharmacy organization in Bottineau, ND (NPI 1104002534).
Provider details
- NPI number
- 1104002534
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Wal-Mart Stores Inc
- Organization subpart
- Yes
- Authorized official
- Dianna Painter, Tp Enrollment Specialist(479) 277-1238
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
912 11th Street East
Bottineau, ND 58318
Phone: (701) 228-5930
Street-level locationGet directions
Mailing address
Mail Stop 0445
Bentonville, AR 72716
Other names (DBA / former)
- Doing business as
- Wal-Mart Pharmacy
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2009-02-06
Frequently asked questions
- What is Wal-Mart Stores, Inc.'s NPI number?
- Wal-Mart Stores, Inc.'s National Provider Identifier (NPI) is 1104002534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores, Inc.?
- Wal-Mart Stores, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wal-Mart Stores, Inc. located?
- Wal-Mart Stores, Inc.'s practice location on file with NPPES is 912 11th Street East, Bottineau, ND 58318.
- What is Wal-Mart Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores, Inc. is (701) 228-5930.
- Who is the authorized official for Wal-Mart Stores, Inc.?
- The authorized official listed on Wal-Mart Stores, Inc.'s NPPES record is Dianna Painter, Tp Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores, Inc.'s NPI active?
- Yes — Wal-Mart Stores, Inc.'s NPI (1104002534) is active in the NPPES registry as of the last update on 2009-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.