WAL-MART STORES EAST LP (NPI# 1306864111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306864111 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0628 |
| Practice Address |
9880 Dorchester Rd Summerville SC 29485-8545 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8438712550 |
| Enumeration Date | 2006-07-18 |
| 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 |
02781 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 727812 | 05 | |
| PK | 2090376 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0628 | 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 |
9880 DORCHESTER RD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802687 | David W Bang | Optometrist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2005-09-20 |
| 1548659030 | Carla Jean Thompkins | Hearing Instrument Specialist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2015-01-21 |
| 1316355134 | Charles Edward Harrington | Pharmacist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2014-07-24 |
| 1124447537 | Song Hye Sullivan | Pharmacist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2014-04-14 |
| 1558780965 | Jason Thomas Holifield | Pharmacist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2014-04-14 |
| 1750700167 | Buffie Sloan Gnegy | Pharmacist | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2014-04-14 |
| 1043535206 | Lymin Inc | Hearing Aid Equipment | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2010-03-31 |
| 1285673665 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9880 Dorchester Rd, Summerville, SC 29485-8545 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1033745112 | Charleston Oncology, Pa | Pharmacy | 300 Callen Blvd Ste 110, Summerville, SC 29486-2809 | 2020-03-20 |
| 1306498944 | Ladson Pharmacy LLC | Pharmacy | 4550 Ladson Rd Ste 6, Summerville, SC 29485-8531 | 2019-07-14 |
| 1306370556 | Rx Choice II LLC | Pharmacy | 9881 Commerce St Ste A, Summerville, GA 30747-1300 | 2017-04-14 |
| 1043641020 | Harris Teeter LLC | Pharmacy | 9500 Dorchester Rd, Summerville, SC 29485-8651 | 2013-12-02 |
| 1649588195 | Johnson Rx Inc | Pharmacy | 9848 Rome Blvd, Summerville, GA 30747-1586 | 2010-09-17 |
| 1730369752 | Ledford Rx Express Inc | Pharmacy | 103 Highway 48, Summerville, GA 30747-1506 | 2007-11-07 |
| 1306949060 | Georgia Cvs Pharmacy LLC | Pharmacy | 9849 Rome Blvd, Summerville, GA 30747-1585 | 2006-09-07 |
| 1558378505 | Walgreen Co | Pharmacy | 54 Old Trolley Rd, Summerville, SC 29485-4904 | 2006-08-02 |
| 1376558460 | Walgreen Co | Pharmacy | 9998 Dorchester Rd, Summerville, SC 29485-8529 | 2006-07-29 |
| 1184640369 | Jackson Drug Co., Inc | Pharmacy | 10077 Commerce St, Summerville, GA 30747-1356 | 2006-07-14 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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.