WAL-MART STORES EAST LP (NPI# 1619994894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619994894 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1504 |
| Practice Address |
8800 Kingsridge Dr Dayton OH 45458-1616 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9374358533 |
| Practice Fax Number | 9374351616 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
020617000 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2071743 | 01 | |
| OH | 0777977 | 05 | |
| OH | 777977 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1504 | 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 |
8800 KINGSRIDGE DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45458-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163473 | Victor Louis Ciaramitaro | Pharmacist | 8800 Kingsridge Dr, Dayton, OH 45458-1616 | 2020-10-29 |
| 1447675442 | Esraa Almosawi | Pharmacist | 8800 Kingsridge Dr, Dayton, OH 45458-1616 | 2014-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| 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 |
|---|---|---|---|---|
| 1700262250 | First Care Pharmacy LLC | Pharmacy | 8353 N Main St, Dayton, OH 45415-1602 | 2015-08-07 |
| 1235560541 | Five Star Care Inc. | Pharmacy | 108-b North Main, Dayton, TX 77535 | 2013-12-12 |
| 1689014847 | Adham Enterprises LLC | Pharmacy | 2915 Linden Ave, Dayton, OH 45410-3038 | 2013-07-02 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| 1982778361 | Dayton Osteopathic Hospital | Pharmacy | 1997 Miamisburg-centerville Rd, Dayton, OH 45459 | 2006-11-20 |
| 1619049400 | Barlow Rx Inc | Pharmacy | 8359 N Main St, Dayton, OH 45415-1602 | 2006-11-15 |
| 1962505461 | Ohio Cvs Stores LLC | Pharmacy | 1300 Wilmington Ave, Dayton, OH 45420-1541 | 2006-09-07 |
| 1265544274 | Shelton Pharmacy | Pharmacy | 1525 Wayne Ave, Dayton, OH 45410-1707 | 2006-08-31 |
| 1689789620 | The Elder Beerman Stores Corp | Pharmacy | 2917 Philadelphia Dr, Dayton, OH 45405-1913 | 2006-08-20 |
| 1326053349 | Walgreen Co | Pharmacy | 1542 Wayne Ave, Dayton, OH 45410-1708 | 2006-07-29 |
| Find all providers in DAYTON | ||||
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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.