WAL-MART STORES EAST LP (NPI# 1760409155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760409155 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2533 |
| Practice Address |
3767 Gulf Breeze Pkwy Gulf Breeze FL 32563-3528 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8509343178 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-16 |
| 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 |
PH15752 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106332400 | 05 | |
| PK | 2011042 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2533 | 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 |
3767 GULF BREEZE PKWY |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730674656 | Kathleen Rita Bertelli | Pharmacist | 3767 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3528 | 2018-06-22 |
| 1033456942 | Dean F Argentine, Od Pa | Optometrist | 3767 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3528 | 2013-01-11 |
| 1104916964 | Dean Argentine | Optometrist | 3767 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3528 | 2006-10-13 |
| 1114019643 | Wal-mart Stores East, Lp | Technician/Technologist | 3767 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3528 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| 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 |
|---|---|---|---|---|
| 1679738637 | Sims Pharmacy LLC | Pharmacy | 1177 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4835 | 2008-07-18 |
| 1912001884 | Holiday Cvs LLC | Pharmacy | 225 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
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.