WAL-MART STORES EAST LP (NPI# 1306863543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306863543 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2664 |
| Practice Address |
21920 Route 119 Punxsutawney PA 15767-7975 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8149388100 |
| 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 |
PP481154 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007455310041 | 05 | |
| PK | 2085920 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2664 | 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 |
21920 ROUTE 119 |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-7975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598328981 | Deborah Gavlak Freeland | Pharmacist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2019-04-21 |
| 1194273656 | Whitling Eye Co. | Optometrist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2016-09-13 |
| 1134558182 | Anne-marie Depp | Pharmacist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2013-11-09 |
| 1932379773 | Patricia Fichthorn Swartz | Pharmacist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2008-03-07 |
| 1811167240 | Stephanie Ling Bonanno | Pharmacist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2008-02-29 |
| 1750463287 | Wal-mart Stores East, Lp | Technician/Technologist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2006-10-20 |
| 1265548531 | Benjamin Harold Whitling | Optometrist | 21920 Route 119, Punxsutawney, PA 15767-7975 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| 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 |
|---|---|---|---|---|
| 1134585417 | Rite Aid | Pharmacy | 201 W Mahoning St, Punxsutawney, PA 15767-1918 | 2016-01-03 |
| 1134547144 | Punxsutawney Health Center Pharmacy LLC | Pharmacy | 200 Prushnok Dr, Suite 102, Punxsutawney, PA 15767-2343 | 2014-04-07 |
| 1932244035 | Rbj Enterprises, Inc. | Pharmacy | 132 W Mahoning St, Punxsutawney, PA 15767-2017 | 2007-02-20 |
| 1609917731 | Stewarts Drug Store | Pharmacy | 219 W Mahoning St, Punxsutawney, PA 15767-1918 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
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.