WAL-MART STORES EAST LP (NPI# 1215271853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215271853 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-4501 |
| Practice Address |
134 Daniel Kendall Dr Brownsville PA 15417-8303 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7243644106 |
| Mailing Telephone | 4792040709 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2012-11-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482345 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138208 | 01 | |
| PA | 100745531 0292 | 05 |
| Other Name | Type Code |
|---|---|
| Wal-Mart Pharmacy 10-4501 | 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 |
134 DANIEL KENDALL DR |
| City | BROWNSVILLE |
| State | PA |
| Zip Code | 15417-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305635 | Kimberly Jesionowski | Pharmacist | 134 Daniel Kendall Dr, Brownsville, PA 15417-8303 | 2020-10-30 |
| 1285149112 | David Patrick Oneil | Pharmacist | 134 Daniel Kendall Dr, Brownsville, PA 15417-8303 | 2017-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685663 | Wal-mart Stores East Lp | Technician/Technologist | 134 Daniel Kendall Dr., West Brownsville, PA 15417 | 2012-11-27 |
| 1073630190 | Wadhwani Cardio Pulumonary Associates, Inc | Specialist | 129 Simpson Raod, Suite 102, Brownsville, PA 15417 | 2007-03-23 |
| 1609838549 | Ashok K Sahai | Surgery | 129 Simpson Road, Suite #101, Brownsville, PA 15417 | 2006-04-05 |
| 1275538365 | Alan C Sally | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-16 |
| 1477654150 | Bernard Joseph Dolobach | Dentist | 416 Market Street, Brownsville, PA 15417 | 2006-09-26 |
| 1003911751 | Bhagwan J Wadhwani | Specialist | 129 Simpson Road, Suite #102, Brownsville, PA 15417 | 2006-09-14 |
| 1912012022 | Prakorb Isariyawongse | Surgery | 129 Simpson Road, Suite 108, Brownsville, PA 15417 | 2006-08-20 |
| 1316942998 | Fayette Podiatry Associates Inc | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-20 |
| 1114030350 | Brownsville Ambulance Service Inc | Ambulance | 12 Arch St, Box 300, Brownsville, PA 15417-1611 | 2006-08-15 |
| 1073612313 | Thrift Drug Inc | Pharmacy | 37 Market St, Brownsville, PA 15417-1764 | 2006-09-22 |
| Find all providers in zip 15417 | ||||
| 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 |
|---|---|---|---|---|
| 1609439231 | Valleywide Pharmacy and Dme Inc | Pharmacy | 800 E Alton Gloor Blvd Ste A, Brownsville, TX 78526-4296 | 2019-04-18 |
| 1386034981 | Brownsville Pharmacy 3 | Pharmacy | 800 E Alton Gloor Blvd, Unit B, Brownsville, TX 78526-4248 | 2015-02-03 |
| 1598109373 | Kv Early Inc | Pharmacy | 3243 Southmost Rd, Brownsville, TX 78521-4857 | 2013-04-23 |
| 1912248436 | Hometown Drug Co. LLC | Pharmacy | 2280 N Washington Ave, Brownsville, TN 38012-1607 | 2013-03-07 |
| 1033321146 | Valley Baptist Pharmacy Services | Pharmacy | 864 Central Blvd., Ste. 1200, Brownsville, TX 78520 | 2007-05-03 |
| 1265577605 | Dowling Pharmacy,llc | Pharmacy | 2571 N Washington Ave, Brownsville, TN 38012-1610 | 2007-02-21 |
| 1174673339 | Lopez Pharmacy | Pharmacy | 5850 Fm 802 Ste C8, Brownsville, TX 78526-5206 | 2007-01-11 |
| 1932258860 | Arthur J Masso | Pharmacy | 3855 Southmost Rd Fl 2, Brownsville, TX 78521-4863 | 2007-01-09 |
| 1003984030 | International Pharmacies | Pharmacy | 500 Paredas Line Rd, Brownsville, TX 78521 | 2006-11-30 |
| 1053332023 | Pmj Unlimited LLC | Pharmacy | 1885 E Price Rd, Ste B, Brownsville, TX 78521-3190 | 2006-07-22 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 15417 |
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.