WAL-MART STORES EAST LP


Address: 24 Quaker Rdg, Queensbury, NY 12804-1556
Phone: 5187614058

WAL-MART STORES EAST LP (NPI# 1205124567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205124567
Entity Type Organization
Organization Name WAL-MART STORES EAST LP
Other Organization Name WALMART PHARMACY 10-4403
Practice Address 24 Quaker Rdg
Queensbury
NY 12804-1556
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-6209
Practice Telephone 5187614058
Mailing Telephone 4792771238
Mailing Fax Number 4792774331
Enumeration Date 2011-07-20
Last Update Date 2017-02-15
Authorized Official Name SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart N

Taxonomy

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
030863 NY Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2131167 01
NY 04432959 05

Other Provider/Organization Names

Other Name Type Code
WalMart Pharmacy 10-4403 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Wal-Mart Stores East LP 702 Sw 8th St, Bentonville, Arkansas 72716-0555

Office Location

Street Address 24 QUAKER RDG
City QUEENSBURY
State NY
Zip Code 12804-1556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619483948 Mark Edwin Boyle Technician/Technologist 24 Quaker Rdg, Queensbury, NY 12804-1556 2017-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265060958 Dani Grace Filicetti Student in an Organized Health Care Education/Training Program 423 Bay Rd, Queensbury, NY 12804 2020-03-30
1861977704 Leslie Ann Warren Counselor 24 Cedarwood Drive, Queensbury, NY 12804 2018-09-26
1598294910 Molly Gillespie Speech-Language Pathologist 9 Sylvan Ave, Queensbury, NY 12804 2017-06-08
1306207196 Dorothy Duggan Registered Nurse 128 Aviation Road, Queensbury, NY 12804 2016-03-08
1568731115 Kph Healthcare Services, Inc. Pharmacy 161 Carey Road, Queensbury, NY 12804 2011-12-27
1164701017 Wal-mart Stores East Lp Technician/Technologist 24 Quaker Ridge Blvd, Queensbury, NY 12804 2011-08-10
1821275256 Koock E Jung Md PC Social Worker 597 Bay Road, Queensbury, NY 12804 2008-01-29
1477765246 Warren Washington Counties Chapter Nysarc Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 375 Bay Road, Suite 200, Queensbury, NY 12804 2007-05-04
1336299742 Town of Queensbury Union Free School District 2 Local Education Agency (LEA) 429 Aviation Road, Queensbury, NY 12804 2007-01-11
1578658761 Richard Jay Reisman Dentist 8 Baywood Drive, Glens Falls, NY 12804 2006-10-04
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568731115 Kph Healthcare Services, Inc. Pharmacy 161 Carey Road, Queensbury, NY 12804 2011-12-27
1447354295 Cvs Albany, L.L.C. Pharmacy 216 Quaker Rd, Queensbury, NY 12804-1778 2006-09-12
1295259083 Walgreen Co Pharmacy 724 Upper Glen St, Queensbury, NY 12804-2019 2017-08-02
1477657237 Cvs Albany LLC Pharmacy 5 Main St, Queensbury, NY 12804-4007 2006-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891396388 Sharx Corp Pharmacy 4301 48th Ave, Woodside, NY 11377-6241 2020-11-03
1841890878 Corner Pharmacy Myrtle Pharmacy 680 Myrtle Ave, Brooklyn, NY 11205-4119 2020-10-28
1124627302 Elite Pharmacy Inc. Pharmacy 614a Grand St, Brooklyn, NY 11211-4802 2020-10-20
1073111951 Pharmacy On Bay Street Inc. Pharmacy 1209 Bay St, Staten Island, NY 10305-3121 2020-10-13
1760080741 Carol Pharmacy LLC Pharmacy 4230 Broadway, New York, NY 10033-3746 2020-10-13
1528666443 Mvp Pharmacy Inc Pharmacy 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 2020-10-13
1477151512 101 Rx Pharmacy Inc Pharmacy 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 2020-10-12
1043818289 Xuwei Lin Pharmacy 8218 14th Ave, Brooklyn, NY 11228-3114 2020-10-10
1043817463 Angella Samson Pharmacy 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 2020-10-08
1366059792 Community Healthcare Network Inc. Pharmacy 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 2020-09-29
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Competitor

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City QUEENSBURY
Zip Code 12804

Improve Information

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Dataset Information

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.

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