OrganizationActive
Wal-Mart Stores, Inc.
NPI 1639411937 · Community/Retail Pharmacy · Bend, OR
Provider details
- NPI number
- 1639411937
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Deb Lauver, Specialist Plan Enrollment(479) 204-8741
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
20120 Pinebrook Blvd
Bend, OR 97702-2537
Phone: (541) 389-5440
Fax: (541) 389-5382
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Wal-Mart Pharmacy 10-2075
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2013-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.