WAL-MART STORES EAST LP (NPI# 1639618770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639618770 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-6936 |
| Practice Address |
14 N Stafford Complex Center Stafford VA 22556-0000 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 5406026119 |
| Practice Fax Number | 5406026121 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | SARAH LITTLE (DIR HEALTHCARE CONTRACT&ENROL) |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168458 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-6936 | 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 |
14 N STAFFORD COMPLEX CENTER |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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|---|---|---|---|---|
| 1184998163 | Specialty Veterinary Pharmacy | Pharmacy | 4159 Bluebonnet Drive, Stafford, TX 77477 | 2012-03-08 |
| 1699070565 | Cantex Continuing Care Network LLC | Pharmacy | 11104 W Airport Blvd Ste 255, Stafford, TX 77477-3035 | 2011-01-24 |
| 1467597096 | Dans Wellness Pharmacy Inc | Pharmacy | 418 Garrisonville Rd, Ste 100, Stafford, VA 22554-1592 | 2007-02-21 |
| 1730644774 | Hayat Pharmacy | Pharmacy | 630 Murphy Rd Ste 110, Stafford, TX 77477-5928 | 2019-02-04 |
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|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| 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.