WAL-MART STORES EAST LP (NPI# 1023035383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023035383 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2856 |
| Practice Address |
201 Se Salem St Oak Grove MO 64075-9284 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8166907606 |
| Enumeration Date | 2006-07-16 |
| 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 |
2002009931 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048292 | 01 | |
| MO | 604900308 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2856 | 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 |
201 SE SALEM ST |
| City | OAK GROVE |
| State | MO |
| Zip Code | 64075-9284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916043 | Melissa Kaye West | Pharmacist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2018-09-18 |
| 1619467974 | Sarah Margaret Sims | Pharmacist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2018-05-12 |
| 1174817936 | Michele Renee Beel | Pharmacist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2011-06-08 |
| 1821171471 | Wal-mart Stores East, Lp | Technician/Technologist | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703863 | Samantha Jo Castlebury | Nurse Practitioner | 302 Se Salem, Oak Grove, MO 64075 | 2018-03-16 |
| 1629524574 | Brandon Notz | Registered Nurse | 509 Se Oak Ridge Dr., Unit A, Oak Grove, MO 64075 | 2016-08-31 |
| 1528468691 | Beacon of Hope Hospice of Missouri, Inc. | Hospice Care, Community Based | 1201c South Broadway, Oak Grove, MO 64075 | 2014-08-26 |
| 1043580194 | Crossroads Behavioral Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1611 Deer Run Rd., Oak Grove, MO 64075 | 2012-01-06 |
| 1861559734 | Patricia Ann Bettels Rhodes | Dentist | 2016 S Broadway, Oak Grove, MO 64075 | 2007-01-02 |
| 1922104447 | Elaine K Akin | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1598873911 | Amber Troyer | Optometrist | 201 S Salem, Oak Grove, MO 64075 | 2006-08-26 |
| 1104916337 | Ogmc LLC | Clinic/Center | 1900 S Broadway, Oak Grove, MN 64075 | 2006-10-16 |
| 1649376161 | Joyce E Peterson | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| Find all providers in zip 64075 | ||||
| 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] |
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|---|---|---|---|---|
| 1710044508 | Gordon Smith Pharmacy | Pharmacy | 212 Main Street, Oak Grove, LA 71263-1515 | 2007-01-02 |
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|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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| 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.