WAL-MART STORES EAST LP (NPI# 1740503051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503051 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-4387 |
| Practice Address |
25 Tobias Boland Way Worcester MA 01607-2103 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7743143162 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2010-03-02 |
| 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 |
DS89724 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124003 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4387 | 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 |
25 TOBIAS BOLAND WAY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01607-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811458 | Farzaneh Esther Kermani | Pharmacist | 25 Tobias Boland Way, Worcester, MA 01607-2103 | 2020-11-03 |
| 1619385267 | David J Calixte | Pharmacist | 25 Tobias Boland Way, Worcester, MA 01607-2103 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334482 | Kara Louise Fluet | Behavior Technician | 45a Greenwood St, Worcester, MA 01607 | 2020-07-23 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
| 1215466644 | Danielle M Costa | Behavioral Analyst | 345a Greenwood Stree, Suite B, Worceter, MA 01607 | 2017-06-08 |
| 1679007397 | Tara Faford | Developmental Therapist | 345a Greenwood Sreet, Suite B, Worcester, MA 01607 | 2017-04-19 |
| 1598201006 | Destiny Johnson | Developmental Therapist | 345a Greenwich Street Suite B, Worcester, MA 01607 | 2017-01-09 |
| 1962945642 | Anthony Mastrocola | Developmental Therapist | 345a Greenwood St. Suite B, Worcester, MA 01607 | 2016-11-29 |
| 1821444159 | Victoria Lucarini | Behavioral Analyst | 345 Greenwood St. Suite B, Worcester, MA 01607 | 2016-05-05 |
| 1558722173 | Timothy Donahue | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-09 |
| 1689033078 | Christine Grudoff | Developmental Therapist | 345a Greendwood Street, Suite B, Worcester, MA 01607 | 2016-02-15 |
| Find all providers in zip 01607 | ||||
| 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 |
|---|---|---|---|---|
| 1063609972 | Walgreen Co | Pharmacy | 99 Stafford St, Worcester, MA 01603-1456 | 2007-09-25 |
| 1881885366 | Walgreen Co | Pharmacy | 220 Grafton St, Worcester, MA 01604-4906 | 2007-08-08 |
| 1568679439 | Walgreen Co | Pharmacy | 472 Lincoln St., Worcester, MA 01605-1917 | 2007-05-17 |
| 1669528360 | Haig & Haig Drug Inc | Pharmacy | 550 W Boylston St, Worcester, MA 01606-2027 | 2007-01-26 |
| 1295834661 | Cvs Pharmacy Inc | Pharmacy | 50 Sw Cutoff, Worcester, MA 01604-1534 | 2006-09-22 |
| 1093814451 | Cvs Pharmacy Inc | Pharmacy | 256 Lincoln St, Worcester, MA 01605-2105 | 2006-09-22 |
| 1225137672 | Cvs Pharmacy Inc | Pharmacy | 481 Lincoln St, Worcester, MA 01605-1915 | 2006-09-22 |
| 1558460915 | Cvs Pharmacy Inc | Pharmacy | 500 Grafton St, Worcester, MA 01604-4713 | 2006-09-22 |
| 1134228596 | Cvs Pharmacy Inc | Pharmacy | 638 Chandler St, Worcester, MA 01602-1770 | 2006-09-22 |
| 1215036660 | Cvs Pharmacy Inc | Pharmacy | 110 Front St Ste 102, Worcester, MA 01608-1446 | 2006-09-22 |
| Find all providers in WORCESTER | ||||
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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.