WAL-MART STORES EAST LP (NPI# 1538186606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538186606 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2668 |
| Practice Address |
3049 S Oakes Rd Mount Pleasant WI 53177-1961 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2625988528 |
| Practice Fax Number | 2625988530 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-15 |
| 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 |
8182-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2108858 | 01 | |
| WI | 33233500 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2668 | 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 |
3049 S OAKES RD |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53177-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710170626 | Lawrence Volkert | Dentist | 2753 Wisconsin Street, Sturtevant, WI 53177 | 2007-08-23 |
| 1023171279 | Lucy Mcauley | Physical Therapist | 8700 Durand Ave, Suite D, Sturtevant, WI 53177 | 2006-12-19 |
| 1245585462 | Amrinder Singh | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177 | 2012-07-14 |
| 1083748255 | Sean P Sheerin | Physical Therapy Assistant | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
| 1083748271 | Paula J Hatch | Occupational Therapist | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
| 1275520033 | Robert Stephen Callaghan | Psychiatry & Neurology | 8700 Durand Ave Ste 600, Sturtevant, WI 53177 | 2005-10-05 |
| 1740518869 | Arlene C Adams | Physical Therapist | 515 Deer Path, Sturtevant, WI 53177-1266 | 2009-12-01 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1184254336 | Kristiana R Maggard | Occupational Therapist | 10180 Washington Ave # 107, Mount Pleasant, WI 53177-1604 | 2020-01-16 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| Find all providers in zip 53177 | ||||
| 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 |
|---|---|---|---|---|
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1285027391 | Ron Group | Pharmacy | 570 Long Point Rd Ste 170, Mount Pleasant, SC 29464-7931 | 2015-03-13 |
| 1285912394 | Roundys Supermarkets Inc | Pharmacy | 2820 S Green Bay Rd, Mount Pleasant, WI 53406-4950 | 2011-07-25 |
| 1396981239 | Moose Drug Company | Pharmacy | 8374 West Franklin Street, Mount Pleasant, NC 28124-0067 | 2008-12-24 |
| 1922257609 | Saginaw Chippewa Indian Tribe | Pharmacy | 2410 S Leaton Rd, Ste 8, Mount Pleasant, MI 48858-8639 | 2008-09-17 |
| 1548277585 | Walgreen Co | Pharmacy | 6125 Durand Ave, Mount Pleasant, WI 53406-4913 | 2006-08-02 |
| 1114442860 | Walgreen Co | Pharmacy | 1799 N Highway 17, Mount Pleasant, SC 29464 | 2017-08-03 |
| 1518321926 | Raven Holdings, LLC | Pharmacy | 953 Houston Northcutt Blvd, Mount Pleasant, SC 29464-3468 | 2016-04-12 |
| 1639562945 | Tidewater Pharmacy & Medical Supply LLC | Pharmacy | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-2689 | 2015-03-11 |
| 1619375839 | Walgreen Co | Pharmacy | 389 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-2932 | 2014-12-22 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53177 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| 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.