WAL-MART STORES EAST LP (NPI# 1417974890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417974890 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1220 |
| Practice Address |
2500 S Kirkman Rd Orlando FL 32811-2345 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4072979785 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH15397 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2009335 | 01 | |
| FL | 100581200 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1220 | 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 |
2500 S KIRKMAN RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531247 | Shasly Ulysse | Pharmacist | 2500 S Kirkman Rd, Orlando, FL 32811-2345 | 2019-10-29 |
| 1003298936 | Mn Eye Pa | Optometrist | 2500 S Kirkman Rd, Orlando, FL 32811-2345 | 2015-06-27 |
| 1760630248 | Hoang Minh Nguyen | Optometrist | 2500 S Kirkman Rd, Orlando, FL 32811-2345 | 2008-09-08 |
| 1083796437 | Wal-mart Stores East, Lp | Technician/Technologist | 2500 S Kirkman Rd, Orlando, FL 32811-2345 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640168 | Carlo Lavern Shaw | Counselor | 6150 Metro West Blvd Suite 103, Orlando, FL 32811 | 2019-10-09 |
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| Find all providers in zip 32811 | ||||
| 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 |
|---|---|---|---|---|
| 1902423015 | Aids Healthcare Foundation | Pharmacy | 1349 N. Mills Ave, Orlando, FL 32803-2542 | 2020-07-06 |
| 1821614983 | Wholescripts Pharmacy, LLC | Pharmacy | 6800 Kingspointe Pkwy Ste 100, Orlando, FL 32819-8592 | 2020-06-24 |
| 1508324963 | First Responders Pharmacy LLC | Pharmacy | 3333 Curry Ford Rd Ste B, Orlando, FL 32806-3472 | 2019-03-05 |
| 1023574407 | Orlando Health Inc. | Pharmacy | 1215 Atlanta Ave, Orlando, FL 32806-3985 | 2019-02-11 |
| 1447725163 | Radiance Health Rx LLC | Pharmacy | 723 Virginia Dr, Orlando, FL 32803-2527 | 2018-10-09 |
| 1336620954 | Avita Drugs Florida, LLC | Pharmacy | 801 N Magnolia Ave Ste 406, Orlando, FL 32803-3843 | 2018-08-22 |
| 1942719398 | Mkst Management, LLC Rxway Pharmacy | Pharmacy | 448 South Alafaya Trail, Suite 2, Orlando, FL 32828-8998 | 2017-09-28 |
| 1306367206 | Market Pharmacy | Pharmacy | 222 Neighborhood Market Rd Ste 105, Orlando, FL 32825-3525 | 2017-06-29 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1689129173 | Plaza Pharmacy,llc | Pharmacy | 3094 Curry Ford Rd, Orlando, FL 32806-3376 | 2016-08-24 |
| Find all providers in ORLANDO | ||||
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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.