WAL-MART STORES EAST LP (NPI# 1073530119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073530119 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0806 |
| Practice Address |
571 Walton Blvd Las Cruces NM 88001-8449 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5755243501 |
| 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 |
PH00001257 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2057628 | 01 | |
| NM | 64485 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0806 | 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 |
571 WALTON BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528006285 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2006-06-03 |
| 1407361777 | Jessica Desanto | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2017-12-08 |
| 1285013334 | Ehi Okogbo | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2015-05-22 |
| 1194132274 | Ramon Martinez | Pharmacist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2014-07-21 |
| 1083851612 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2009-01-20 |
| 1891869921 | Jesse Eddie Sowards | Optometrist | 571 Walton Blvd, Las Cruces, NM 88001-8449 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 1912457375 | Walgreen Co | Pharmacy | 3450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2016-10-10 |
| 1154461341 | Rede Pharmacy, Inc | Pharmacy | 2655 Missouri, Las Cruces, NM 88011-5023 | 2007-02-07 |
| 1467510891 | Wallis Enterprises Inc | Pharmacy | 2140 N Main St, Las Cruces, NM 88001-1129 | 2006-12-05 |
| 1811904717 | Walgreen Co | Pharmacy | 2300 E Lohman Ave, Las Cruces, NM 88001-8492 | 2006-08-02 |
| 1659997500 | Riogrande Care Pharmacy LLC | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2020-06-16 |
| 1578578621 | Walgreen Co | Pharmacy | 3100 N Main St, Las Cruces, NM 88001-1162 | 2006-07-29 |
| 1700811007 | El Paseo Pharmacy, LLC | Pharmacy | 1605 El Paseo Rd, Las Cruces, NM 88001-6013 | 2006-07-12 |
| 1013946755 | Family Pharmacy, LLC | Pharmacy | 1205 S Solano Dr, Las Cruces, NM 88001-3755 | 2006-07-03 |
| 1770533440 | Elpaseo Pharmacy LLC | Pharmacy | 1605 El Paseo Rd, Suite A, Las Cruces, NM 88001-6013 | 2006-05-11 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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.