WALMART PHARMACY (NPI# 1659916344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659916344 |
| Entity Type | Organization |
| Organization Name | WALMART PHARMACY |
| Practice Address |
2709 Church St Ste A Conway SC 29526-4440 |
| Practice Telephone | 8433650301 |
| Mailing Telephone | 8433650301 |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |
| Authorized Official Name | LEANN LEASE (STAFF PHARMACIST) |
| Authorized Official Telephone | 8433650301 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA BOARD OF PHARMACY | 42285 | 01 |
| VA | VIRGINIA BOARD OF PHARMACY | 0202216176 | 01 |
| Other Name | Type Code |
|---|---|
| Wal-mart Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427501279 | Walmart Pharmacy | Pharmacy | 1401 E Navajo Dr, Apt 3104, Hobbs, NM 88240-9433 | 2016-07-28 |
| 1770936502 | Walmart Pharmacy | Pharmacy | 2491 Highway 120, Robeline, LA 71469-5509 | 2016-07-17 |
| 1043681745 | Walmart Pharmacy | Pharmacy | 443 Osborn Ave, Bigfork, MT 59911-3671 | 2015-10-07 |
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| 1629390968 | Walmart Pharmacy | Pharmacy | 143 Pleasant Meadows Rd, Cooperstown, NY 13326-5039 | 2010-02-26 |
| 1164561882 | Walmart Pharmacy | Pharmacy | 6868 Us Hwy129, Live Oak, FL 32060 | 2007-02-06 |
| 1427690007 | Walmart Pharmacy | Pharmacy | 15355 N Northsight Blvd, Scottsdale, AZ 85260-2603 | 2019-10-15 |
| 1790229748 | Walmart Pharmacy | Pharmacy | 11101 S Parker Rd, Parker, CO 80134-4773 | 2016-12-09 |
| 1679015309 | Walmart Pharmacy | Pharmacist | 3000 E Franklin Blvd, Gastonia, NC 28056-9451 | 2016-11-11 |
| 1376085001 | Walmart Pharmacy | Pharmacist | 1801 Us Highway 421, Wilkesboro, NC 28697-2279 | 2016-11-11 |
| Street Address |
2709 CHURCH ST STE A |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437176682 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2709 Church St Ste A, Conway, SC 29526-4440 | 2006-07-16 |
| 1114537891 | Tuan Steven Nguyen | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2020-08-06 |
| 1265092720 | Robert L Coffman Jr. | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2019-06-17 |
| 1952705196 | Mayme Dewey | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2014-10-17 |
| 1144640277 | Mayme Dewey | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2014-04-16 |
| 1659796506 | John Brian Mezger | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2014-03-02 |
| 1851715676 | Lillian Carmichael Andrews | Pharmacist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2014-02-13 |
| 1932283538 | Wal-mart Stores East, Lp | Technician/Technologist | 2709 Church St Ste A, Conway, SC 29526-4440 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1386095982 | Conway Medical Park Pharmacy | Pharmacy | 650 United Dr Ste 110, Conway, AR 72032-7000 | 2016-06-24 |
| 1821335845 | 3bg, Inc. | Pharmacy | 810 Amity Rd, Suite 101, Conway, AR 72032-5988 | 2013-01-10 |
| 1760682108 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Road, Conway, SC 29526 | 2007-07-24 |
| 1326072174 | Kroger Limited Partnership I | Pharmacy | 855 Salem Rd, Conway, AR 72034-4820 | 2006-07-10 |
| 1447282470 | Freds Stores of Tennessee Inc | Pharmacy | 245 East Oak Street, Conway, AR 72032 | 2006-07-07 |
| 1205876059 | Pharmacy Solutions Inc | Pharmacy | 2125 College Ave, Suite 2, Conway, AR 72034 | 2006-06-08 |
| 1306843016 | Baker Drug Company | Pharmacy | 924 Front St, Conway, AR 72032-4304 | 2005-07-07 |
| 1174969935 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2013-05-20 |
| 1790027449 | J J J Smith Inc | Pharmacy | 2235 Dave Ward Dr, Ste 108, Conway, AR 72034-7039 | 2013-03-20 |
| Find all providers in CONWAY | ||||
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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.