WAL-MART STORES EAST LP (NPI# 1417974551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417974551 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-3457 |
Practice Address |
3116 S Garnett Rd Tulsa OK 74146-1933 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 9186227923 |
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 |
24527 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100246830A | 05 | |
PK | 2076415 | 01 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-3457 | 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 |
3116 S GARNETT RD |
City | TULSA |
State | OK |
Zip Code | 74146-1933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700424 | Chandra Nichole Russell | Pharmacist | 3116 S Garnett Rd, Tulsa, OK 74146-1933 | 2020-11-03 |
1013517598 | Shelly Rhinehart | Pharmacist | 3116 S Garnett Rd, Tulsa, OK 74146-1933 | 2020-10-26 |
1861002727 | Christopher David Earl Gallowich | Pharmacist | 3116 S Garnett Rd, Tulsa, OK 74146-1933 | 2020-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
Find all providers in zip 74146 |
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 |
---|---|---|---|---|
1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
1952888356 | Genscripts LLC | Pharmacy | 10827 S Memorial Dr Ste D, Tulsa, OK 74133-7361 | 2018-07-27 |
1063824589 | Rx Holdings LLC | Pharmacy | 11414 E 51st St Ste A, Tulsa, OK 74146-5800 | 2014-06-02 |
1508102609 | Insync Life Care LLC | Pharmacy | 6310 East 102nd Street, Tulsa, OK 74137-7061 | 2012-12-17 |
1235315250 | Oklahoma Cvs Pharmacy LLC | Pharmacy | 7437 S Olympia Ave W, Tulsa, OK 74132-1838 | 2008-01-22 |
1366526022 | Walgreen Co | Pharmacy | 5046 S Sheridan Rd, Tulsa, OK 74145-5714 | 2006-10-25 |
1225121338 | Moore Pharmacy Service; LLC | Pharmacy | 11414 E. 51st Street, Unit A, Tulsa, OK 74146-5821 | 2006-10-02 |
1134233117 | Genscripts LLC | Pharmacy | 3980 S Hudson Ave, Tulsa, OK 74135-5608 | 2006-08-18 |
1699786723 | Cfp Acquisitions, Inc. | Pharmacy | 6136 E 51st St, Tulsa, OK 74135-7704 | 2006-08-11 |
1033126925 | Walgreen Co | Pharmacy | 10018 S Yale Ave, Tulsa, OK 74137-6016 | 2006-08-02 |
Find all providers in TULSA |
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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.