WAL-MART STORES EAST LP (NPI# 1548287691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548287691 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1571 |
| Practice Address |
250 Wolf Run Mukwonago WI 53149-8470 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2623638366 |
| 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 |
8507-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33176200 | 05 | |
| PK | 2115147 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1571 | 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 |
250 WOLF RUN |
| City | MUKWONAGO |
| State | WI |
| Zip Code | 53149-8470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828138 | Joshua Amelunk | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1184222978 | Rebecca Scharringhausen | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1639777550 | Tanner Paque | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1245838226 | Katherine Seeley | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1982229522 | Eric Sean Saucedo | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-06-09 |
| 1083841639 | Jennifer L. Neubauer | Nurse Practitioner | 250 Wolf Run, Suite 5, Mukwonago, WI 53149-8470 | 2009-06-22 |
| 1083796999 | Wal-mart Stores East, Lp | Technician/Technologist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2006-10-19 |
| 1740382217 | Jennifer L Friehe | Optometrist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2006-09-03 |
| 1659488187 | Kristin T Kastner | Nurse Practitioner | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1952724304 | Therapeutic Healing, LLC | Clinic/Center | S77 W30705 Mosher Dr., Mukwonago, WI 53149 | 2014-01-21 |
| 1659667087 | Joan Maria Stevenson | Occupational Therapist | 111 Aktinson St., Unit 2, Mukwonago, WI 53149 | 2011-06-23 |
| 1770873515 | Kimberly Lynn Schmor | Licensed Practical Nurse | 833 Pinehurst Dr, Mukwonago, WI 53149 | 2011-04-13 |
| 1952619959 | Jennifer Ann Crnkovich | Nurse Practitioner | W307 S7835 Applewood Lane, Mukwonago, WI 53149 | 2010-09-24 |
| 1841460839 | Wendy Schmidt | Occupational Therapist | 1231 S Rochester St Ste 210, Mukwonago, WI 53149 | 2008-03-05 |
| 1659589570 | Pamela Ann Mcwilliams | Dentist | 603 North Rochester St., Mukwonago, WI 53149 | 2007-05-21 |
| 1891823787 | Rosalind J Boyer-cole | Anesthesiology | S86w26640 Rustic View Ln, Mukwonago, WI 53149 | 2007-03-01 |
| 1184777435 | Michael F Connor | Dentist | 603 N Rochester Street, Mukwonago, WI 53149 | 2007-01-19 |
| 1912057159 | Leah Mary Hudson | Occupational Therapist | 103 Apollo Ct, Mukwonago, WI 53149 | 2007-01-11 |
| Find all providers in zip 53149 | ||||
| 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 |
|---|---|---|---|---|
| 1588829543 | Roundys Supermarkets Inc | Pharmacy | 1010 N Rochester St, Mukwonago, WI 53149-8738 | 2008-07-18 |
| 1083648208 | Aurora Pharmacy Inc | Pharmacy | 225a Eagle Lake Ave, Mukwonago, WI 53149-1155 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 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.