WAL-MART STORES EAST LP (NPI# 1689691784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689691784 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-3300 |
Practice Address |
1257 Bellefontaine St Wapakoneta OH 45895-9732 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 4197380490 |
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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021513200 | OH | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2079978 | 01 | |
OH | 2553026 | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-3300 | 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 |
1257 BELLEFONTAINE ST |
City | WAPAKONETA |
State | OH |
Zip Code | 45895-9732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729221 | Leslie Jo Treglia | Pharmacist | 1257 Bellefontaine St, Wapakoneta, OH 45895-9732 | 2020-10-28 |
1073113262 | Jamie Allemeier | Pharmacist | 1257 Bellefontaine St, Wapakoneta, OH 45895-9732 | 2020-10-28 |
1326648536 | Amy Marie Hoffman | Pharmacist | 1257 Bellefontaine St, Wapakoneta, OH 45895-9732 | 2020-10-27 |
1285234781 | Amber Ridenour | Pharmacist | 1257 Bellefontaine St, Wapakoneta, OH 45895-9732 | 2020-10-26 |
1194822627 | Wal-mart Stores East, Lp | Technician/Technologist | 1257 Bellefontaine St, Wapakoneta, OH 45895-9732 | 2006-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558834119 | Dr Eric West Dc Inc | Chiropractor | 801 Brewfield Redskin Trail, Wapakoneta, OH 45895 | 2019-01-07 |
1063931624 | Teresa Howell | Home Health | 15500 Bay Road, Wapakoneta, OH 45895 | 2017-09-14 |
1891241410 | Dion Michael Paul | Occupational Therapy Assistant | 305 East Mechanic St., Wapakoneta, OH 45895 | 2016-09-01 |
1609235480 | Marianne Morrisey | Speech-Language Pathologist | 1010 Lincoln Ave, Wapakoneta, OH 45895 | 2016-02-22 |
1700285327 | Brittany Kay Clark | Nurse Practitioner | 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 | 2014-08-19 |
1871896621 | Barbara Jill Cummins | Family Medicine | 807 Glynwood Road, Wapakoneta, OH 45895 | 2010-12-17 |
1649410630 | Michael Justin Nagel | Chiropractor | 801 Brewfield Dr., Redskin Trail, Wapakoneta, OH 45895 | 2009-03-03 |
1538331475 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1251 Lincoln Avenue, Wapakoneta, OH 45895 | 2008-04-01 |
1275745754 | New Vision Nursing and Home Care LLC | Home Health | 310 Perry St, Wapakoneta, OH 45895 | 2007-05-04 |
1346461886 | Rudolph Lewis Vostatek | Dentist | 1101 Defiance Street, Wapakoneta, OH 45895 | 2007-05-01 |
Find all providers in zip 45895 |
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 |
---|---|---|---|---|
1639272453 | Ohio Cvs Stores LLC | Pharmacy | 1101 Bellefontaine St, Wapakoneta, OH 45895-9731 | 2006-09-07 |
1174630461 | Schwieterman's Drug Store Inc | Pharmacy | 1302 Defiance St, Wapakoneta, OH 45895-1081 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
Find all providers with the same taxonomy |
City | WAPAKONETA |
Zip Code | 45895 |
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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.