WAL-MART STORES EAST LP (NPI# 1740370717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740370717 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-3443 |
| Practice Address |
48 State Rt 23 Riverdale NJ 07457-1602 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9738355912 |
| Enumeration Date | 2006-10-13 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00665400 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0129941 | 05 | |
| PK | 2056054 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-3443 | 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 |
48 STATE RT 23 |
| City | RIVERDALE |
| State | NJ |
| Zip Code | 07457-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689977787 | Simply Eyecare LLC. | Optometrist | 48 State Rt 23, Riverdale, NJ 07457-1602 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
| 1649811589 | Laboratory Medicine Diagnostics | Clinical Medical Laboratory | 82 Newark-pompton Tpke, 2nd Floor, Suite 1, Riverdale, NJ 07457 | 2019-10-02 |
| 1962989632 | Alyson Escalona | Optometrist | 92 Nj-23, Riverdale, NJ 07457 | 2018-07-25 |
| 1235522301 | Heather Diane Weglinski | Registered Nurse | 2214 Ramapo Ct., Riverdale, NJ 07457 | 2015-03-12 |
| 1972923506 | Isaak Gorelov | Rehabilitation Practitioner | 6 North Corporate Drive, Push To Walk, Riverdale, NJ 07457 | 2014-04-22 |
| 1518275346 | Jessie Yenyi Lee | Physical Therapist | 49 Hamburg Turnpike, Riverdale, NJ 07457 | 2010-09-14 |
| 1700054236 | Randi Marie Johansen | Technician/Technologist | 92 Rte 23n, Suite E, Riverdale, NJ 07457 | 2008-02-19 |
| 1649448655 | Emma Mutz | Technician/Technologist | 92 Rte23n, Suite E, Riverdale, NJ 07457 | 2008-02-12 |
| 1962680595 | Pearle Vision Riverdale/relm Opticians,llc | Technician/Technologist | 92 Route 23n, Riverdale, NJ 07457 | 2008-02-06 |
| Find all providers in zip 07457 | ||||
| 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 |
|---|---|---|---|---|
| 1023410727 | Fred's Stores of Tennessee Inc. | Pharmacy | 94 Upper Riverdale Rd Sw, Riverdale, GA 30274-2622 | 2014-09-24 |
| 1952736514 | Global Care Pharmacy Inc. | Pharmacy | 773 Highway 138 Sw Ste 13, Riverdale, GA 30296-1599 | 2013-09-13 |
| 1801080981 | New Jersey Cvs Pharmacy LLC | Pharmacy | 94 State Rt 23, Riverdale, NJ 07457-1208 | 2007-08-31 |
| 1184728032 | Highland Park Cvs, L.L.C. | Pharmacy | 250 W 144th St, Riverdale, IL 60827-2733 | 2006-09-12 |
| 1609970532 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 7055 Old National Hwy, Riverdale, GA 30296-1665 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
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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.