WAL-MART STORES EAST LP (NPI# 1457378879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457378879 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0655 |
| Practice Address |
420 Factory Outlet Dr Hanson KY 42413-9513 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2708214031 |
| 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 |
PO2003 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 5400666300 | 05 | |
| PK | 2030628 | 01 | |
| KY | 5402191000 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0655 | 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 |
420 FACTORY OUTLET DR |
| City | HANSON |
| State | KY |
| Zip Code | 42413-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658517 | Robin Edward Roach | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-28 |
| 1245830660 | Eric Paris | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-26 |
| 1366059693 | Rhea Noble | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-09-30 |
| 1407200280 | Wal-mart Stores East, Lp | Technician/Technologist | 420 Factory Outlet Dr, Hanson, KY 42413-9514 | 2016-04-19 |
| 1770679490 | John Michael Schertzinger | Optometrist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669557286 | Lawrence E Suess | Psychiatry & Neurology | 7805 N Hanson Rd, Hanson, KY 42413 | 2006-10-25 |
| 1134212715 | Karen Joan Lynn | Speech-Language Pathologist | 393 Fate Lutz Rd, Hanson, KY 42413 | 2006-10-02 |
| 1720617285 | Tammy Barre | Nurse Practitioner | 455 N Livingston St, Hanson, KY 42413-2120 | 2020-04-06 |
| 1306475173 | Amy Diane Davis | Nurse Practitioner | 588 Lily Ln, Hanson, KY 42413-8500 | 2020-04-03 |
| 1356569842 | Western Kentucky Veterans Center | Skilled Nursing Facility | 926 Veterans Dr, Hanson, KY 42413-9401 | 2007-04-23 |
| 1063784197 | Commonwealth of Kentucky | Skilled Nursing Facility | 926 Veterans Dr, Hanson, KY 42413-9401 | 2012-02-06 |
| 1124262613 | Sarah Susan Whittington | Nurse Practitioner | 926 Veterans Dr, Hanson, KY 42413-9401 | 2009-04-28 |
| 1164592705 | Robert Cain | Pharmacist | 7455 Hanson Rd, Hanson, KY 42413-9415 | 2006-11-09 |
| 1669766895 | Edward G Frodge | Occupational Therapy Assistant | 7915 Hanson Rd, Hanson, KY 42413-9418 | 2011-06-06 |
| 1255381646 | Hanson Pharmacy and Wellness Center | Durable Medical Equipment & Medical Supplies | 7455 Hanson Rd, Hanson, KY 42413-9481 | 2006-05-10 |
| Find all providers in zip 42413 | ||||
| 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 |
|---|---|---|---|---|
| 1578662938 | Cvs Pharmacy Inc | Pharmacy | 471 Liberty St, Hanson, MA 02341-1167 | 2006-09-22 |
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|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.