WAL-MART STORES EAST LP (NPI# 1114306735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114306735 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3338 |
| Practice Address |
203 Cedar Springs Rd Spartanburg SC 29302-4639 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-6209 |
| Practice Telephone | 8643816366 |
| Practice Fax Number | 8643816367 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2017-02-16 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16091 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152236 | 01 | |
| SC | 716091 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3338 | 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 |
203 CEDAR SPRINGS RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1275180390 | Dorothy Nicole Henderson | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2019-08-22 |
| 1053897934 | Caroline Elizabeth Seay | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2018-07-13 |
| 1275057937 | Aaron Patrick Hearn | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2017-08-02 |
| 1396198834 | Jacqueline Ware | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2016-07-20 |
| 1881079044 | Kevin Kulik | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| 1306973672 | Julian Williams | Internal Medicine | 319 N Pine St, Spartanburg, SC 29302 | 2007-02-27 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1063915643 | Hub City Pharmacy LLC | Pharmacy | 1735 John B White Sr Blvd, Spartanburg, SC 29301-5482 | 2018-03-09 |
| 1245591668 | Shertech Pharmacy Spartanburg | Pharmacy | 1360 Drayton Rd, Spartanburg, SC 29307-5104 | 2012-06-01 |
| 1073789111 | Ingles Markets Inc | Pharmacy | 2375 Chesnee Hwy, Spartanburg, SC 29303 | 2008-05-07 |
| 1154521037 | Costco Wholesale Corporation | Pharmacy | 211 W Blackstock Rd, Spartanburg, SC 29301 | 2007-07-19 |
| 1205910338 | Ingles Markets Inc | Pharmacy | 8004 Warren H Abernathy Hwy, Spartanburg, SC 29301-2448 | 2006-10-25 |
| 1134222904 | South Carolina Cvs Pharmacy LLC | Pharmacy | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2006-09-07 |
| 1720093818 | Walgreen Co | Pharmacy | 1790 E Main St, Spartanburg, SC 29307-2231 | 2006-07-29 |
| 1568477412 | Ingles Markets Inc | Pharmacy | 2000 S Pine St, Spartanburg, SC 29302-3315 | 2006-07-29 |
| 1194730283 | Walgreen Co | Pharmacy | 2410 Reidville Rd, Spartanburg, SC 29301-3652 | 2006-07-29 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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.