WAL-MART STORES EAST LP (NPI# 1184641425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184641425 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2890 |
| Practice Address |
5955 Zebulon Rd Macon GA 31210-2030 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4784719122 |
| 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 |
PHRE008801 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015540 | 01 | |
| GA | 00940541K | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2890 | 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 |
5955 ZEBULON RD |
| City | MACON |
| State | GA |
| Zip Code | 31210-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780545 | Courtney Mcbroom | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2020-11-06 |
| 1093369811 | Aanand Patel | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2019-07-30 |
| 1578035804 | Vbdc of Macon LLC | Dentist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2018-12-27 |
| 1972915064 | Nimmi Patel | Pharmacist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2014-05-23 |
| 1790868933 | Wal-mart Stores East, Lp | Technician/Technologist | 5955 Zebulon Rd, Macon, GA 31210-2030 | 2006-10-23 |
| 1730287996 | Seborah W. King, O.d. & Associates, L.L.C. | Optometrist | 5955 Zebulon Rd, Walmart Vision Center, Macon, GA 31210-2030 | 2006-09-20 |
| 1649372343 | Seborah Williams King | Optometrist | 5955 Zebulon Rd, Wal-mart Vision Center, Macon, GA 31210-2030 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1194348011 | First Choice Primary Care, Inc | Pharmacy | 400 Poplar St Rm 125, Macon, GA 31201-3336 | 2020-05-27 |
| 1417508789 | Elite Apothecary Services, LLC | Pharmacy | 5300 Bowman Park Rm A, Macon, GA 31210-6583 | 2019-09-26 |
| 1700360831 | Houston County Health Department | Pharmacy | 158 Emery Hwy, Macon, GA 31217-3656 | 2018-09-25 |
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1881133064 | A & A Pharmacy LLC | Pharmacy | 4683 Log Cabin Dr, Macon, GA 31204-6317 | 2017-02-21 |
| 1689810095 | Southern Family Markets LLC | Pharmacy | 1425 Rocky Creek Rd, Macon, GA 31206-3575 | 2009-01-07 |
| 1356595417 | Express Rx Pharmacy, LLC. | Pharmacy | 743 Shurling Dr, Macon, GA 31211-1947 | 2008-11-15 |
| 1306980008 | Consultants' Pharmacy | Pharmacy | 655 North Ave, Ste B, Macon, GA 31211 | 2007-02-16 |
| 1710020870 | Smith Management Services LLC | Pharmacy | 655 North Ave Ste A, Macon, GA 31211 | 2007-02-15 |
| 1982707725 | Georgia Cvs Pharmacy LLC | Pharmacy | 1271 Gray Hwy, Macon, GA 31211-1919 | 2006-09-07 |
| Find all providers in MACON | ||||
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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.