WAL-MART STORES EAST LP (NPI# 1053338111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053338111 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2264 |
| Practice Address |
1320 Altamont Ave Schenectady NY 12303-2924 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5183552792 |
| 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 |
23336 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1722458 | 05 | |
| PK | 2061917 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2264 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
1320 ALTAMONT AVE |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497261010 | Louis Edward Schwartz | Technician/Technologist | 1320 Altamont Ave, Schenectady, NY 12303-2924 | 2017-12-19 |
| 1700172533 | Azadeh Khoshakhlagh | Pharmacist | 1320 Altamont Ave, Schenectady, NY 12303 | 2011-06-20 |
| 1700100567 | Daniela Reed | Pharmacist | 1320 Altamont Ave, Schenectady, NY 12303-2918 | 2010-03-23 |
| 1922321017 | Stephanie Marie Pietrocola | Pharmacist | 1320 Altamont Ave, Schenectady, NY 12303-5609 | 2010-03-04 |
| 1609058122 | Tess Amanda Bone | Pharmacist | 1320 Altamont Ave, Schenectady, NY 12303-2918 | 2007-11-27 |
| 1790899649 | Wal-mart Stores East, Lp | Technician/Technologist | 1320 Altamont Ave, Schenectady, NY 12303-2902 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| 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 |
|---|---|---|---|---|
| 1801280110 | Kaali Inc | Pharmacy | 1321 Erie Blvd, Schenectady, NY 12305-1003 | 2015-03-25 |
| 1245330695 | Eckerd Corporation | Pharmacy | 2430 Watt Street, Schenectady, NY 12304 | 2006-09-25 |
| 1194824375 | Eckerd Corporation | Pharmacy | 2513 Guilderland Ave, Schenectady, NY 12306-3801 | 2006-09-22 |
| 1457454910 | Cvs Albany LLC | Pharmacy | 1204 Eastern Ave, Schenectady, NY 12308-3502 | 2006-09-07 |
| 1912011214 | Price Chopper Operating Co Inc | Pharmacy | 501 Duanesburg Rd, Schenectady, NY 12306-1058 | 2006-08-17 |
| 1922451970 | Price Chopper Pharmacy | Pharmacy | 461 Nott St, Schenectady, NY 12308-1812 | 2016-07-14 |
| 1528453032 | Cvs Pharmacy, Albany LLC | Pharmacy | 1630 Chrisler Ave, Schenectady, NY 12303-1829 | 2015-04-01 |
| 1861704819 | Hmb Pharmacy Management LLC | Pharmacy | 1044 State St, Schenectady, NY 12307-1508 | 2010-07-07 |
| 1730112400 | Metcare Rx Schenectady Pharmaceutical Services, LLC | Pharmacy | 1044 State St, Schenectady, NY 12307-1508 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
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.