WAL-MART STORES EAST LP (NPI# 1639593304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639593304 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2887 |
| Practice Address |
125 Maryport Dr Myrtle Beach SC 29575-6513 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8432320495 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-02-14 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
15203 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2144419 | 01 | |
| SC | 715203 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2887 | 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 |
125 MARYPORT DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29575-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235615469 | Justin Kaiser | Pharmacist | 125 Maryport Dr, Myrtle Beach, SC 29575-6513 | 2018-07-11 |
| 1508382029 | Sommer Norris Mintz | Pharmacist | 125 Maryport Dr, Myrtle Beach, SC 29575-6513 | 2017-08-16 |
| 1669923215 | Sylvia Park I | Pharmacist | 125 Maryport Dr, Myrtle Beach, SC 29575-6513 | 2016-10-19 |
| 1417330374 | Margaret Greer Baxter | Pharmacist | 125 Maryport Dr, Myrtle Beach, SC 29575-6513 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| Find all providers in zip 29575 | ||||
| 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 |
|---|---|---|---|---|
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1205352374 | Carolina Health Pharmacy LLC | Pharmacy | 4036 River Oaks Dr Unit B-1, Myrtle Beach, SC 29579-6695 | 2017-08-20 |
| 1215335336 | Health and Wellness Pharmacy LLC | Pharmacy | 5405 Dick Pond Rd, Myrtle Beach, SC 29588-6836 | 2014-12-06 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1871784660 | Fsq Pharmacy Holdings, LLC | Pharmacy | 9516 Highway 707, Suite B, Myrtle Beach, SC 29588-7346 | 2007-08-06 |
| 1780787556 | South Carolina Cvs Pharmacy LLC | Pharmacy | 6617 N Kings Hwy, Myrtle Beach, SC 29572-3012 | 2006-09-07 |
| 1699797340 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1150 Seaboard St, Myrtle Beach, SC 29577-6517 | 2006-07-24 |
| 1003335159 | Joshua Sanders | Pharmacy | 7800 N Kings Hwy, Myrtle Beach, SC 29572-3053 | 2017-09-10 |
| 1720501778 | Walgreen Co | Pharmacy | 2901 N Kings Hwy, Myrtle Beach, SC 29577-3015 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29575 |
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.