WAL-MART STORES EAST LP (NPI# 1134146467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134146467 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0250 |
| Practice Address |
103 W Polk St Warsaw MO 65355-3297 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6604382207 |
| 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 |
2003024713 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048958 | 01 | |
| MO | 605099703 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0250 | 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 |
103 W POLK ST |
| City | WARSAW |
| State | MO |
| Zip Code | 65355-3297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941363 | Lori Dawn Berger | Pharmacist | 103 W Polk St, Warsaw, MO 65355-3297 | 2020-10-28 |
| 1376143818 | Kelli Kathleen Tate | Pharmacist | 103 W Polk St, Warsaw, MO 65355-3297 | 2020-10-26 |
| 1891304283 | Kaetlyn Leigh Taunton | Pharmacist | 103 W Polk St, Warsaw, MO 65355-3297 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107298 | Heart Core LLC | Custodial Care Facility | 810 Kennedy Dr, Warsaw, MO 65355 | 2019-11-06 |
| 1679083588 | Back In Action Chiropractic LLC | Chiropractor | 204 W Seminary St, Warsaw, MO 65355 | 2017-10-05 |
| 1295260313 | Trey Kalbaugh | Dentist | 1631 Commercial St # 4385139, Warsaw, MO 65355 | 2017-04-26 |
| 1801247523 | Show Me Physical Therapy LLC | Physical Therapist | 1870 Commercial Street, Warsaw, MO 65355 | 2016-06-23 |
| 1972945046 | Jessica G Bell | Social Worker | 23929 U.S. Highway 65, Warsaw, MO 65355 | 2013-07-18 |
| 1518198043 | Benton County Advocates for Developmental Disabilities | Home Health | 1661 Commercial Street, Warsaw, MO 65355 | 2009-07-31 |
| 1679707731 | Porter Chiropractic Clinic PC | Chiropractor | 122 W Washington St, Warsaw, MO 65355 | 2009-05-05 |
| 1770744237 | Sara Beth Forester | Speech-Language Pathologist | 134 W Kosciusko St, Warsaw, MO 65355 | 2008-06-18 |
| 1306023056 | Chantel L Brewster | Speech-Language Pathologist | 134 Kosciusko, Warsaw, MO 65355 | 2008-01-24 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| Find all providers in zip 65355 | ||||
| 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 |
|---|---|---|---|---|
| 1891003661 | Martin's Super Markets, Inc. | Pharmacy | 1150 Husky Trl, Warsaw, IN 46582-1952 | 2010-09-15 |
| 1043309263 | Boring Rexall Drug | Pharmacy | 161 W Main, Warsaw, MO 65355 | 2006-10-12 |
| 1023111754 | Hook Superx LLC | Pharmacy | 100 N Detroit St, Warsaw, IN 46580-3329 | 2006-09-07 |
| 1427063577 | Walgreen Co | Pharmacy | 2400 E Center St, Warsaw, IN 46580-3817 | 2006-07-29 |
| 1346375359 | Beringer Drug Store Inc | Pharmacy | 102 West Main St, Suite A, Warsaw, KY 41095 | 2007-02-22 |
| 1639214232 | Warsaw Drug Co Inc | Pharmacy | 204 N Front St, Warsaw, NC 28398-1833 | 2007-02-21 |
| 1881757920 | Wyoming Rexall Drug Inc | Pharmacy | 91 N Main St, Warsaw, NY 14569-1343 | 2006-12-19 |
| 1609937531 | J Rutowski and Sons Inc | Pharmacy | 75 N Main St, Warsaw, NY 14569-1343 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.