OrganizationActive
Walmart
NPI 1669871869 · Pharmacist · Port Orchard, WA
Provider details
- NPI number
- 1669871869
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Micajah Jenkins, Pharmacist(253) 509-2176
- License
- PH60031151 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3497 Bethel Rd Se
Port Orchard, WA 98366-5634
Phone: (360) 874-9063
Fax: (360) 874-0071
Street-level locationGet directions
Mailing address
6690 Regency Dr Se
Port Orchard, WA 98367-9514
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2014-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.