WAL-MART STORES EAST LP


Address: 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127
Phone: 3188400477

WAL-MART STORES EAST LP (NPI# 1437521879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437521879
Entity Type Organization
Organization Name WAL-MART STORES EAST LP
Other Organization Name WALMART PHARMACY 10-3746
Practice Address 412 Bert Kouns Industrial Loop
Shreveport
LA 71106-8127
Mailing Address 702 Sw 8th St
Mailstop 0445
Bentonville
AR 72716-0445
Practice Telephone 3188400477
Mailing Telephone 4792048550
Enumeration Date 2015-10-26
Last Update Date 2017-02-16
Authorized Official Name SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
Authorized Official Telephone 4792772500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy PHY.007233-RC LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2155220 01

Other Provider/Organization Names

Other Name Type Code
Walmart Pharmacy 10-3746 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Wal-Mart Stores East LP 702 Sw 8th St, Bentonville, Arkansas 72716-0555

Office Location

Street Address 412 BERT KOUNS INDUSTRIAL LOOP
City SHREVEPORT
State LA
Zip Code 71106-8127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871190413 Caleb Daniel Anders Pharmacist 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127 2020-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972008332 Andrew Joseph Brouillette Dentist 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 2018-03-28
1548775885 David Wayne Spears Pharmacist 10460 Norris Ferry Road, Shreveport, LA 71106 2017-12-08
1225559263 Susan Anderson Roblow Physical Therapist 921 Unadilla Street, Shreveport, LA 71106 2017-06-29
1134656382 James Lowder Dentist 8691 Line Ave Ste 300, Shreveport, LA 71106 2017-05-18
1144753708 Laverne Brantley Counselor 328 E 69th St, Shreveport, LA 71106 2017-04-10
1437690849 Biostat Laboratories, LLC Clinical Medical Laboratory 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 2017-03-17
1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
1184162554 Marilyn Johnson Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-02-06
1417499740 Pamela Lee Counselor 8802 Coyth Ln, Shreveport, LA 71106 2016-11-17
Find all providers in zip 71106

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588036552 Brfhh Shreveport LLC Pharmacy 1541 Kings Hwy Rm Eg-10, Shreveport, LA 71103-4228 2015-10-29
1982962890 Jewella Avenue Pharmacy Pharmacy 3610 Jewella Ave, Suite B, Shreveport, LA 71109-4700 2012-04-27
1265675029 Martin Luther King Health Center Pharmacy 1233 Sprague St., Shreveport, LA 71101 2009-04-09
1134272644 Pill Box Pharmacy Incorporated Pharmacy 1849 Line Ave, Shreveport, LA 71101-4611 2007-01-19
1114090446 Brookshire Grocery Company Pharmacy 388 Bert Kouns Loop, Attention Pharmacy Dept, Shreveport, LA 71106-8123 2006-11-16
1952474421 Brookshire Grocery Company Pharmacy 3620 Pines Rd, Attention Pharmacy Dept, Shreveport, LA 71119-5206 2006-11-15
1861565335 Brookshire Grocery Company Pharmacy 510 Kings Hwy, Attention Pharmacy Dept, Shreveport, LA 71104-4444 2006-11-15
1316010887 Brookshire Grocery Company Pharmacy 5828 Line Ave, Attention Pharmacy Dept, Shreveport, LA 71106-1532 2006-11-15
1225101793 Brookshire Grocery Company Pharmacy 3000 N Market St, Attention Pharmacy Dept, Shreveport, LA 71107-4062 2006-11-15
1780757252 Brookshire Grocery Company Pharmacy 2640 Waggoner Ave, Attention Pharmacy Dept, Shreveport, LA 71108-3859 2006-11-15
Find all providers in SHREVEPORT

Competitor

Search similar providers

City SHREVEPORT
Zip Code 71106

Improve Information

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Dataset Information

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.

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