WAL-MART STORES EAST LP (NPI# 1730106006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730106006 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1866 |
| Practice Address |
615 Wilton Rd Farmington ME 04938-6128 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2077785615 |
| Practice Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001142 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2036821 | 01 | |
| ME | 187470019 | 05 | |
| ME | 999101081 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1866 | 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 |
615 WILTON RD |
| City | FARMINGTON |
| State | ME |
| Zip Code | 04938-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825393 | Charles M Tessman Sr. | Optometrist | 615 Wilton Rd, Farmington, ME 04938-6128 | 2006-01-10 |
| 1598241333 | Michele Lea Nelson | Pharmacist | 615 Wilton Rd, Farmington, ME 04938-6128 | 2018-07-16 |
| 1083190961 | Ronald Edward Deane Jr. | Pharmacist | 615 Wilton Rd, Farmington, ME 04938-6128 | 2018-07-13 |
| 1821186446 | Wal-mart Stores East, Lp | Technician/Technologist | 615 Wilton Rd, Farmington, ME 04938-6128 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
| 1740617158 | Jason Pratt | Pharmacist | 624 Wilton Road, Farmington, ME 04938 | 2013-09-30 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1649412602 | Work First, Inc. | Day Training, Developmentally Disabled Services | 309 Wilton Road, 309 Wilton Road, Farmington, ME 04938 | 2009-04-06 |
| 1598943110 | Peter W Swallow | Dentist | 107 Box Shop Hill, Farmington, ME 04938 | 2008-02-06 |
| 1477620706 | Scott D Christie | Psychologist | 176 Livermore Falls Road, Farmington, ME 04938 | 2006-11-30 |
| 1104900836 | Angela M Thompson | Social Worker | 144 High Street, Ste 1, Farmington, ME 04938 | 2006-10-25 |
| 1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
| Find all providers in zip 04938 | ||||
| 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 |
|---|---|---|---|---|
| 1033749395 | Cod Management LLC | Pharmacy | 23133 Orchard Lake Rd Ste 101, Farmington, MI 48336-3278 | 2020-01-24 |
| 1629551759 | Uconn Health Pharmacy Services Inc | Pharmacy | 270 Farmington Ave Ste 108, Farmington, CT 06032-1965 | 2018-09-14 |
| 1053801340 | Mears Pharmacy | Pharmacy | 1050 Shepard Ln Ste 1, Farmington, UT 84025-2716 | 2018-05-13 |
| 1669985396 | Pharmingtonrx, LLC | Pharmacy | 806 Valley Creek Dr, Farmington, MO 63640-1969 | 2017-11-16 |
| 1811313216 | Jill's Genuine Care Pharmacy, LLC | Pharmacy | 23354 Farmington Rd, Farmington, MI 48336-3102 | 2014-03-10 |
| 1326463936 | Four Corners Compounding | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2014-02-19 |
| 1205000601 | Dalco, Inc. | Pharmacy | 120 E Karsch Blvd, Farmington, MO 63640-1238 | 2008-04-16 |
| 1164585469 | Farmington Drug | Pharmacy | 507 E 20th St, Farmington, NM 87401-2105 | 2006-12-18 |
| 1154433084 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 23391 Farmington Rd, Farmington, MI 48336-3103 | 2006-08-31 |
| 1710993118 | Walgreen Co | Pharmacy | 4221 E Main St, Farmington, NM 87402-8637 | 2006-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 04938 |
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.