WAL-MART STORES EAST LP (NPI# 1720006554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720006554 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2832 |
| Practice Address |
4400 Highway 278 Hardeeville SC 29927 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8432083010 |
| Enumeration Date | 2006-07-18 |
| 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 |
5115 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 751151 | 05 | |
| PK | 2091726 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2832 | 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 |
4400 HIGHWAY 278 |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073927778 | Marcie Swanson | Pharmacist | 4400 Highway 278, Hardeeville, SC 29927 | 2014-06-20 |
| 1760801989 | Donna Evans | Pharmacist | 4400 Highway 278, Hardeeville, SC 29927 | 2014-04-15 |
| 1710306352 | Michelle Heather Melton | Pharmacist | 4400 Highway 278, Hardeeville, SC 29927 | 2014-04-10 |
| 1205918638 | Wal-mart Stores East, Lp | Technician/Technologist | 4400 Highway 278, Hardeeville, SC 29927 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| 1407378508 | Rebecca Lynn Darroudi | Family Medicine | 176 Dermis Rd, Hardeeville, SC 29927 | 2017-07-10 |
| Find all providers in zip 29927 | ||||
| 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 |
|---|---|---|---|---|
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 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 | HARDEEVILLE |
| Zip Code | 29927 |
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.