WAL-MART STORES EAST LP (NPI# 1285651398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285651398 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-2808 |
Practice Address |
12200 Chattanooga Plz Midlothian VA 23112-4865 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 8047448975 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-02-15 |
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 |
0201003689 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2104788 | 01 | |
VA | 8508062 | 05 | |
VA | 008508062 | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-2808 | 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 |
12200 CHATTANOOGA PLZ |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23112-4865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558508952 | Dr. Philip Larrabee and Associates Optometrists, LLC | Clinic/Center | 12200 Chattanooga Plz, Midlothian, VA 23112-4865 | 2009-01-07 |
1730228347 | Rediclinic LLC | Clinic/Center | 12200 Chattanooga Plz, Midlothian, VA 23112-4865 | 2007-02-06 |
1467534560 | Wal-mart Stores East, Lp | Technician/Technologist | 12200 Chattanooga Plz, Midlothian, VA 23112-4865 | 2006-10-19 |
1225139025 | Philip Eugene Larrabee Jr. | Optometrist | 12200 Chattanooga Plz, Midlothian, VA 23112-4865 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
Find all providers in zip 23112 |
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 |
---|---|---|---|---|
1518518356 | Patel Rx Care, LLC | Pharmacy | 11800 Hull Street Rd Ste E, Midlothian, VA 23112-2948 | 2019-09-23 |
1487891867 | Virginia Cvs Pharmacy LLC | Pharmacy | 201 Perimeter Dr, Midlothian, VA 23113-7314 | 2009-01-07 |
1992803464 | Virginia Cvs Pharmacy LLC | Pharmacy | 3851 N Bailey Bridge Rd, Midlothian, VA 23112-2913 | 2006-09-20 |
1710081484 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 13800 Hull Street Rd, Midlothian, VA 23112-2002 | 2006-09-12 |
1609399617 | Walgreen Co | Pharmacy | 3120 Polo Pkwy, Midlothian, VA 23113-4822 | 2017-07-21 |
1326496779 | Texas Health Rx, LLC | Pharmacy | 616 E Main St, Midlothian, TX 76065 | 2016-05-26 |
1639590516 | Texas Health Rx, LLC | Pharmacy | 616 E Main St, Midlothian, TX 76065 | 2013-12-19 |
1043584121 | P & H Corporation | Pharmacy | 1441 S Midlothian Pkwy, #140, Midlothian, TX 76065-5591 | 2012-03-07 |
1649377144 | Cvs Pharmacy Inc | Pharmacy | 100 E Main St, Midlothian, TX 76065-3063 | 2006-09-20 |
1568484244 | Virginia Cvs Pharmacy LLC | Pharmacy | 4601 Commonwealth Centre Pkwy, Midlothian, VA 23112-2639 | 2006-07-24 |
Find all providers in MIDLOTHIAN |
City | MIDLOTHIAN |
Zip Code | 23112 |
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.