WAL-MART STORES EAST LP (NPI# 1124045521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124045521 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2789 |
| Practice Address |
3200 Old Boynton Rd Boynton Beach FL 33436-6506 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5617424055 |
| Enumeration Date | 2006-07-16 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH17639 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022519300 | 05 | |
| PK | 2013707 | 01 | |
| FL | 22519300 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2789 | 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 |
3200 OLD BOYNTON RD |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858044 | Tenne Belnavis | Pharmacist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2020-03-28 |
| 1730723974 | Lester Gobin | Pharmacist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2019-10-31 |
| 1003291410 | Tamara Cook | Pharmacist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2015-07-27 |
| 1487824306 | Eye Care Professionals, P.a. | Optometrist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2008-03-06 |
| 1336289420 | Arcadia Healthcare Solutions Inc. | Durable Medical Equipment & Medical Supplies | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2007-02-07 |
| 1437241973 | Wal-mart Stores East, Lp | Technician/Technologist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2006-09-29 |
| 1568579969 | William S George | Optometrist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2006-08-23 |
| 1518074905 | Barbara A George | Optometrist | 3200 Old Boynton Rd, Boynton Beach, FL 33436-6506 | 2006-08-23 |
| 1386657831 | Bruce E Krieg | Optometrist | 3200 Old Boynton Rd, Vision Center, Boynton Beach, FL 33436-6506 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| 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 |
|---|---|---|---|---|
| 1437493038 | Wal-mart Stores East Lp | Pharmacy | 9840 S Military Trl, Boynton Beach, FL 33436-3201 | 2012-11-20 |
| 1114281177 | Scripts for Life, Inc | Pharmacy | 1403 W Boynton Beach Blvd Ste 1, Boynton Beach, FL 33426-3470 | 2012-06-25 |
| 1134435951 | Pharmacy Partners | Pharmacy | 901 N Congress Ave Ste B101, Boynton Beach, FL 33426-3317 | 2010-08-31 |
| 1346344207 | Holiday Cvs LLC | Pharmacy | 10074 Jog Rd, Boynton Beach, FL 33437-3528 | 2006-09-12 |
| 1437253317 | Holiday Cvs LLC | Pharmacy | 12080 S Jog Rd, Boynton Beach, FL 33437-4150 | 2006-09-12 |
| 1164526034 | Holiday Cvs LLC | Pharmacy | 301 N Federal Hwy, Boynton Beach, FL 33435-4118 | 2006-09-12 |
| 1457455347 | Holiday Cvs LLC | Pharmacy | 131 N Congress Ave, Boynton Beach, FL 33426-4209 | 2006-09-12 |
| 1740384726 | Holiday Cvs LLC | Pharmacy | 1895 N Congress Ave, Boynton Beach, FL 33426-8203 | 2006-09-12 |
| 1285738104 | Holiday Cvs LLC | Pharmacy | 12750 S Military Trl, Boynton Beach, FL 33436-6139 | 2006-09-12 |
| 1720093909 | Walgreen Co | Pharmacy | 10951 S Jog Rd, Boynton Beach, FL 33437-3921 | 2006-07-29 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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.