WAL-MART STORES EAST LP (NPI# 1013935774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013935774 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0743 |
| Practice Address |
100 E I 240 Service Rd Oklahoma City OK 73149-1612 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4056312207 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
14579 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100238710A | 05 | |
| PK | 2073951 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0743 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
100 E I 240 SERVICE RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73149-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548332 | Ilana Betuel Peiroo | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-11-05 |
| 1508466087 | Rebecca Frye | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-10-26 |
| 1477172179 | James Morgan Ely | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1184910648 | Linda J Ellis | Counselor | 108 Corona Drive, Oklahoma City, OK 73149 | 2011-06-23 |
| 1922252766 | Sam's Optical, Oklahoma City, LLC | Durable Medical Equipment & Medical Supplies | 1078d Crossroads Mall, Oklahoma City, OK 73149 | 2008-11-06 |
| 1013193655 | American Current Care P.a. | Clinic/Center | 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2008-01-14 |
| 1750401105 | Tiffany K. Loftis | Physical Therapist | 7100 South I-35 Service Rd, Suite 7, Oklahoma City, OK 73149 | 2007-03-30 |
| 1881711943 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2007-03-23 |
| 1003146382 | Cleveland Nephrology, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149 | 2010-01-08 |
| 1144652298 | Josiah Michelle Hackney | Chiropractor | 41 Springfield Dr, Oklahoma City, OK 73149-1817 | 2013-07-31 |
| 1033541594 | Hackney Chiropractic, Pllc | Chiropractor | 41 Springfield Dr, Oklahoma City, OK 73149-1817 | 2013-08-06 |
| 1477985281 | Daniel Hackney | Chiropractor | 41 Springfield Dr, Oklahoma City, OK 73149-1817 | 2013-08-02 |
| Find all providers in zip 73149 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1588122790 | Costco Wholesale Corporation | Pharmacy | 13200 N Western Ave, Oklahoma City, OK 73114-1434 | 2019-03-06 |
| 1588169692 | Okcity Rx, LLC | Pharmacy | 3300 Nw 56th St Ste 101, Oklahoma City, OK 73112-4530 | 2018-03-29 |
| 1154833796 | Life Pharmacy II | Pharmacy | 1015 N Shartel Ave Ste B, Oklahoma City, OK 73102-1032 | 2017-11-03 |
| 1104252600 | Premier Drug, LLC | Pharmacy | 804 West I-240 Service Road, Suite F, Oklahoma City, OK 73139 | 2013-09-17 |
| 1679905384 | Healthscripts of America - Oklahoma City, LLC | Pharmacy | 804 W I 240 Service Rd Ste F, Oklahoma City, OK 73139-4503 | 2013-08-05 |
| 1740426915 | Home Care Medical, LLC | Pharmacy | 220 Nw 10th St, Oklahoma City, OK 73103-3902 | 2008-12-18 |
| 1467661413 | Jim Rx PC | Pharmacy | 2300 Exchange Ave, Oklahoma City, OK 73108-2436 | 2007-05-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73149 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.