WAL-MART STORES EAST LP (NPI# 1295752509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295752509 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1162 |
| Practice Address |
1801 S State Road 57 Washington IN 47501-4541 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8122546195 |
| 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 |
60005040 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2026673 | 01 | |
| IN | 100294710A | 05 | |
| IN | 100294710 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1162 | 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 |
1801 S STATE ROAD 57 |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234229 | Holly Shoultz | Pharmacist | 1801 S State Road 57, Washington, IN 47501-4541 | 2020-10-29 |
| 1588264501 | Jessica Renee Alford | Pharmacist | 1801 S State Road 57, Washington, IN 47501-4541 | 2020-10-28 |
| 1215581616 | Donna K Gray | Pharmacist | 1801 S State Road 57, Washington, IN 47501-4599 | 2019-07-25 |
| 1902158348 | Tina Wilson | Hearing Instrument Specialist | 1801 S State Road 57, Washington, IN 47501-4326 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| 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] |
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| 1144869736 | Velima Pharmacy | Pharmacy | 4514 Benning Rd Se, Washington, DC 20019-5149 | 2019-12-30 |
| 1013565597 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 4500 Wisconsin Ave Nw, Washington, DC 20016-4628 | 2019-08-28 |
| 1932684354 | Healing Touch LLC | Pharmacy | 4139 Wheeler Rd Se Ste A, Washington, DC 20032-4346 | 2018-10-02 |
| 1942781810 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 1101 New York Ave Nw, Washington, DC 20005-4269 | 2018-08-28 |
| 1003316316 | Whitman-walker Clinic Inc. | Pharmacy | 2303 Martin Luther King Jr Ave Se, Washington, DC 20020 | 2018-02-14 |
| 1366969040 | Mercy Pharmacy Services, LLC | Pharmacy | 851 E 5th St Ste 104, Washington, MO 63090-3128 | 2017-08-24 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1891217618 | Healthdirect Institutional Pharmacy Services Inc | Pharmacy | 1100 W Chestnut St Ste 200, Washington, PA 15301 | 2017-07-13 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1750732970 | Walgreen Co | Pharmacy | 1117 Good Hope Rd Se, Washington, DC 20020 | 2016-06-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
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.