WAL-MART STORES EAST LP (NPI# 1285063040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285063040 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 4187 |
| Practice Address |
2701 Cloverdale Rd Florence AL 35633-1402 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2567126412 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-11-02 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
114261 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143116 | 01 | |
| AL | 156223 | 05 | |
| AL | 160703 DME | 05 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 4187 | 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 |
2701 CLOVERDALE RD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35633-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780669994 | Jeffrey L. Mclaughlin | Optometrist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2005-12-09 |
| 1184145930 | Tracy Terry | Pharmacist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2017-07-02 |
| 1447771621 | Samuel Cody Baker | Pharmacist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2017-06-28 |
| 1447770771 | Brittney Phillips Harper | Pharmacist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2017-06-27 |
| 1447672050 | Jeffrey L Mclaughlin Od LLC | Optometrist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2014-01-16 |
| 1649609678 | Wal-mart Stores East, Lp | Technician/Technologist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2013-11-12 |
| 1336584200 | Charles Price Vaughan Iv | Pharmacist | 2701 Cloverdale Rd, Florence, AL 35633-1402 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814224 | Bama Pool Construction, Inc. | Durable Medical Equipment & Medical Supplies | 3602 Cloverdale Road, Florence, AL 35633 | 2018-09-14 |
| 1356417927 | Leonard Hugh Vanhorn | Chiropractor | 501 Cr 279, Florence, AL 35633 | 2006-11-27 |
| 1962993691 | Alabama Chiropractic Spine & Joint Clinic | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633 | 2018-05-29 |
| 1477040483 | Petersville Family Care, LLC | Family Medicine | 2929 Cloverdale Rd, Florence, AL 35633 | 2018-04-16 |
| 1285931758 | James Wesley Hamilton Jr. | Nurse Practitioner | 3500 Cloverdale Rd, Florence, AL 35633 | 2011-02-18 |
| 1780856781 | Inkyung Kim Santiago | Internal Medicine | 11348 Highway 20, Florence, AL 35633 | 2008-03-31 |
| 1972793263 | Central Family Clinic, Inc | Family Medicine | 11348 Highway 20, Florence, AL 35633 | 2007-08-01 |
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| 1730573445 | Anthony R White | Occupational Therapy Assistant | 123 White Oak Ln, Florence, AL 35633-1015 | 2015-03-20 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| Find all providers in zip 35633 | ||||
| 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 |
|---|---|---|---|---|
| 1568934677 | Well Center Pharmacy LLC | Pharmacy | 605 S Irby St, Florence, SC 29501-5211 | 2018-12-31 |
| 1609324045 | Megs Pharmacy Inc | Pharmacy | 1010 Olive Ave., Florence, WI 54121 | 2016-09-14 |
| 1336504695 | Walgreen Co . | Pharmacy | 805 Pamplico Hwy Ste B130, Florence, SC 29505-6049 | 2015-12-30 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1003233925 | Hartsville Drug Co. Inc. | Pharmacy | 1304 Celebration Blvd, Florence, SC 29501-5495 | 2014-03-28 |
| 1255758561 | Northeast Pharmaceuticals Inc | Pharmacy | 4131 Helton Dr, Florence, AL 35630-6207 | 2014-03-25 |
| 1750623054 | Wal-mart Stores East Lp | Pharmacy | 1410 Florence Blvd, Florence, AL 35630-2700 | 2013-03-25 |
| 1861635922 | Hi-school Pharmacy of Oregon Inc | Pharmacy | 2935 Hwy 101, Florence, OR 97439-9754 | 2009-04-18 |
| 1407983984 | Pharcraft Discount Pharmacy and Craft Supply | Pharmacy | 211 E, Main St, Florence, TX 76527-0626 | 2007-02-28 |
| 1386785996 | Pee Dee Pharmacy Inc | Pharmacy | 123 S Dargan St, Florence, SC 29506-2533 | 2007-02-08 |
| Find all providers in FLORENCE | ||||
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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.