WAL-MART STORES EAST LP (NPI# 1144678343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144678343 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5782 |
| Practice Address |
150 Sonoma Ranch Blvd Las Cruces NM 88011-1608 |
| Mailing Address |
702 Sw 8th St Mail Stop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 5753236097 |
| Practice Fax Number | 5753236096 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-05-27 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH00004279 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160581 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-5782 | 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 |
150 SONOMA RANCH BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699258947 | Mjrx IIi, LLC | Pharmacy | 151 S Walnut St Ste A5, Las Cruces, NM 88001-2613 | 2018-09-12 |
| 1437197514 | Albertsons LLC | Pharmacy | 2551 E Lohman Ave, Las Cruces, NM 88011-8233 | 2006-06-02 |
| 1063857514 | American Specialty Pharmacy Inc | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2013-05-09 |
| 1396095386 | Ben Archer Health Center | Pharmacy | 1998 N Motel Blvd, Building B, Las Cruces, NM 88007-4100 | 2012-09-17 |
| 1861580763 | Ben Archer Health Center | Pharmacy | 1600 Thorpe Rd, Las Cruces, NM 88012-9776 | 2006-10-10 |
| 1538190673 | K Mart Corp | Pharmacy | 1240 El Paseo Rd, Las Cruces, NM 88001-6026 | 2006-07-06 |
| 1174554216 | K Mart Corp | Pharmacy | 1900 Bataan Memorial E, Las Cruces, NM 88011-6011 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264145 | Benzer Nm 1 LLC | Pharmacy | 2000 Carlisle Blvd Ne Ste E, Albuquerque, NM 87110-4973 | 2020-01-08 |
| 1750803466 | Bobs' Budget Pharmacy | Pharmacy | 511 S 2nd St, Tucumcari, NM 88401-2861 | 2017-07-13 |
| 1326577651 | Bestcare Pharmacy-mora LLC | Pharmacy | #3 A033, Mora, NM 87732 | 2017-06-09 |
| 1831637636 | Bestcare Pharmacy Springer LLC | Pharmacy | 307 Maxwell Ave, #b, Springer, NM 87747 | 2017-02-01 |
| 1427501279 | Walmart Pharmacy | Pharmacy | 1401 E Navajo Dr, Apt 3104, Hobbs, NM 88240-9433 | 2016-07-28 |
| 1063872455 | The Pill Box Pharmacy | Pharmacy | 1010 Bridge Blvd Sw Ste B2, Albuquerque, NM 87105-3765 | 2016-02-29 |
| 1558721043 | Newscripts Pharmacy LLC | Pharmacy | 7103 4th St Nw Ste G, Los Ranchos, NM 87107-6675 | 2016-02-26 |
| 1134596976 | Genoa Healthcare, LLC | Pharmacy | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4315 | 2015-08-27 |
| 1346623295 | Unm Hospital | Pharmacy | 2211 Lomas Blvd Ne # 4acc, Albuquerque, NM 87106-2719 | 2015-07-09 |
| 1417330044 | Unm Medical Group, Inc. | Pharmacy | 801 Encino Pl Ne Ste B4, Albuquerque, NM 87102-2642 | 2015-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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.