WAL-MART STORES EAST LP (NPI# 1093732372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093732372 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-0763 |
| Practice Address |
7201 Aaron Aronov Dr Fairfield AL 35064-1831 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2059234788 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
109959 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1991235 | 01 | |
| AL | 100003347 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-0763 | 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 |
7201 AARON ARONOV DR |
| City | FAIRFIELD |
| State | AL |
| Zip Code | 35064-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740657139 | Zachary Martin | Pharmacist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2015-09-01 |
| 1225405608 | Bradley Glenn Livingston | Pharmacist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2015-09-01 |
| 1669711651 | Blackerby Eye Care, LLC | Optometrist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2013-02-11 |
| 1972609261 | Wal-mart Stores East, Lp | Technician/Technologist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553181 | Arrie Lee Bickerstaff | Technician | 7109 Westmoreland Drive, Fairfield, AL 35064 | 2019-08-14 |
| 1053724252 | Mobile Medicine of Alabama | Clinic/Center | 7070 Aaron Aronov Drive, Suite 88, Fairfield, AL 35064 | 2014-06-05 |
| 1952545063 | Toxey Edward Dorsett | Dentist | 325 Valley Road, Fairfield, AL 35064 | 2009-04-21 |
| 1962536250 | John C Sparks | Chiropractor | 7070 Aronov Dr, Suite E, Fairfield, AL 35064 | 2007-03-16 |
| 1932294709 | Allen W Kessler | Dentist | 316 Valley Road, Fairfield, AL 35064 | 2006-10-04 |
| 1982706396 | The Eyecare Place | Technician/Technologist | 5011 Gary Ave., Fairfield, AL 35064 | 2006-09-05 |
| 1306814405 | James Francis Delong | Internal Medicine | 6554 Aaron Aronov Dr, American Family Care Inc, Fairfield, AL 35064 | 2006-03-14 |
| 1336678044 | Stephanie Bennett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-06 |
| 1427587088 | Dequarus Terrell Nevett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-07 |
| 1841315298 | Cheryl Jeanne Szabo | Specialist | 5700 Valley Rd, Fairfield, AL 35064-1218 | 2007-03-21 |
| Find all providers in zip 35064 | ||||
| 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 |
|---|---|---|---|---|
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 1215084561 | Payless Drugs, Inc. | Pharmacy | 4901 Gary Ave, Fairfield, AL 35064-1348 | 2007-01-05 |
| 1295830040 | Connecticut Cvs Pharmacy LLC | Pharmacy | 1968 Black Rock Tpke, Fairway Plaza, Fairfield, CT 06825-3543 | 2006-09-14 |
| 1255434957 | Ohio Cvs Stores LLC | Pharmacy | 590 Nilles Rd, Fairfield, OH 45014-2606 | 2006-09-07 |
| 1033229794 | Raleys | Pharmacy | 3001 Travis Blvd., Fairfield, CA 94534-3442 | 2006-08-30 |
| 1184636359 | Coram Alternate Site Services, Inc. | Pharmacy | 4305 Mulhauser Rd, Suite 1, Fairfield, OH 45014-2263 | 2006-08-13 |
| 1639191232 | Garfield Beach Cvs LLC | Pharmacy | 2059 Cadenasso Dr, Fairfield, CA 94533-6806 | 2006-07-24 |
| 1235172024 | Longs Drug Stores California LLC | Pharmacy | 300 Travis Blvd, Fairfield, CA 94533-3804 | 2006-06-13 |
| 1154941870 | Summit Pharmacy of Iowa, Inc | Pharmacy | 300 W Burlington Ave, Fairfield, IA 52556-3241 | 2020-04-22 |
| 1720617509 | Melissa Adrian | Pharmacy | 1300 W Burlington Ave, Fairfield, IA 52556-2766 | 2020-04-03 |
| Find all providers in FAIRFIELD | ||||
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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.