Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walmart Health Ny Telemedicine PLLC

Organization Counselor · NPI 1417691353

Walmart Health Ny Telemedicine PLLC is a Counselor in Bentonville, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
9
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

702 SW 8th St # MS 0215
Bentonville, AR 72716-6209
Phone: (479) 258-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1417691353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Shen — Owner · (512) 779-7276
Other names Pegus Telemedicine Pllc; Pulluru Telemedicine Pllc
NPI enumeratedApril 26, 2022
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address702 Sw 8th St # Ms 0215, Bentonville, AR 72716-6209

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