WAL-MART STORES EAST LP (NPI# 1699023671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699023671 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3843 |
| Practice Address |
610 Legion Rd Denton MD 21629-2040 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 4104790758 |
| Practice Fax Number | 4104790812 |
| Mailing Telephone | 4792779170 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2018-07-19 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P05803 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136649 | 01 | |
| MD | 678902100 | 05 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-3843 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
610 LEGION RD |
| City | DENTON |
| State | MD |
| Zip Code | 21629-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437589 | Amy Batdorf | Pharmacist | 610 Legion Rd, Denton, MD 21629-2040 | 2020-11-04 |
| 1962752253 | Wal-mart Stores East Lp | Technician/Technologist | 610 Legion Rd, Denton, MD 21629-2040 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| 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 |
|---|---|---|---|---|
| 1871087965 | West Oak Pharmacy,inc | Pharmacy | 2401 W Oak St Ste 101, Denton, TX 76201-2380 | 2018-06-21 |
| 1417253055 | Premium Family Pharmacy | Pharmacy | 1512 Teasley Ln Ste A, Denton, TX 76205-7282 | 2011-01-30 |
| 1639471543 | Addis Pharmacy Inc | Pharmacy | 3305 S Mayhill Road, Suite 101, Denton, TX 76208 | 2010-11-29 |
| 1700959038 | Brookshire Grocery Company | Pharmacy | 719 I 35 East South, Attention Pharmacy Dept, Denton, TX 76205 | 2006-11-16 |
| 1396818829 | Kroger Texas L P | Pharmacy | 1592 S Loop 288, Denton, TX 76205-4730 | 2006-11-15 |
| 1477626083 | Kroger Texas L P | Pharmacy | 500 W University Dr, Denton, TX 76201-1844 | 2006-11-15 |
| 1417040858 | Denton Pharmacy LLC | Pharmacy | 508 S 5th Ave, Denton, MD 21629-1368 | 2006-09-30 |
| 1376642579 | Thrift Drug Inc | Pharmacy | 40 Denton Plz, Denton, MD 21629-9501 | 2006-09-22 |
| 1487696050 | Appling Enterprises LLC | Pharmacy | 2501 W Oak St Ste 100, Denton, TX 76201-4324 | 2006-06-11 |
| 1134105794 | Yarbrough Pharmacy | Pharmacy | 117 Piner, Denton, TX 76201 | 2005-12-15 |
| Find all providers in DENTON | ||||
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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.