WAL-MART STORES EAST LP (NPI# 1487671699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487671699 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-1570 |
Practice Address |
505 Touring Dr Auburn IN 46706-2054 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 2609258083 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-02-28 |
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 |
60005067A | IN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2027137 | 01 | |
IN | 100104100 | 05 | |
IN | 100104100A | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-1570 | 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 |
505 TOURING DR |
City | AUBURN |
State | IN |
Zip Code | 46706-2054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616711 | Geoffrey Dee Preston | Pharmacist | 505 Touring Dr, Auburn, IN 46706-2054 | 2020-10-14 |
1316545551 | Marcy Weber | Pharmacist | 505 Touring Dr, Auburn, IN 46706-2054 | 2020-10-10 |
1952909186 | Maria Kaye Vanort | Pharmacist | 505 Touring Dr, Auburn, IN 46706-2054 | 2020-10-10 |
1841897329 | Tamyra Jauregui | Pharmacist | 505 Touring Dr, Auburn, IN 46706-2054 | 2020-10-07 |
1558443473 | Wal-mart Stores East, Lp | Technician/Technologist | 505 Touring Dr, Auburn, IN 46706-2054 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
Find all providers in zip 46706 |
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 |
---|---|---|---|---|
1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
1144730854 | Auburn Apothecary LLC | Pharmacy | 689 Southbridge St, Auburn, MA 01501-1833 | 2017-10-07 |
1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
1760810790 | U Save Pharmacies LLC | Pharmacy | 1902 S College St, Auburn, AL 36832-6615 | 2013-10-30 |
1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
1033425129 | Food Value & Pharmacy Corp | Pharmacy | 957 W Midland Rd, Auburn, MI 48611-9406 | 2010-08-26 |
1346564556 | Kenthill Pharmacy Inc | Pharmacy | 4058 Auburn Way N, Auburn, WA 98002-1392 | 2010-03-16 |
1245411800 | Ingles Markets Inc | Pharmacy | 1502 Atlanta Hwy Nw, Auburn, GA 30011 | 2007-11-23 |
1962608042 | Kroger Limited Partnership I | Pharmacy | 350 N Grandstaff Dr, Auburn, IN 46706-1678 | 2007-06-25 |
1518169010 | A&h Stores Inc. | Pharmacy | 730 12th St Se, Auburn, WA 98002-6708 | 2007-06-05 |
Find all providers in AUBURN |
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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.