WAL-MART STORES EAST LP (NPI# 1760515340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760515340 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3310 |
| Practice Address |
101 Howland Blvd Deltona FL 32738-9200 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4073289414 |
| Practice Fax Number | 4792774331 |
| Enumeration Date | 2007-03-13 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH22575 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2008640 | 01 | |
| FL | 031957100 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3310 | 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 |
101 HOWLAND BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32738-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851555973 | Nazario Eye Associates, Od, Pa | Optometrist | 101 Howland Blvd, Deltona, FL 32738-9200 | 2008-07-17 |
| 1538388343 | Calvin Nazario | Optometrist | 101 Howland Blvd, Deltona, FL 32738-9200 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626449 | Antoinette Pierce | Registered Nurse | 410 El Camino Dr, Deltona, FL 32738 | 2018-07-21 |
| 1184120776 | Gray Group L.L.C. | Behavioral Analyst | 637 Spreading Oak Ave, Deltona, FL 32738 | 2018-04-02 |
| 1689074080 | Leah Jacob | Student in an Organized Health Care Education/Training Program | 4150 Eastgate Dr, Apt 7308, Orlando, FL 32738 | 2014-09-04 |
| 1912320383 | Right Spirit Homecare,inc | Residential Treatment Facility, Physical Disabilities | 3368 Merchant Ter, Deltona, FL 32738 | 2014-01-21 |
| 1427377720 | Sonia Rivera | Occupational Therapy Assistant | 2278 Banister Street, Deltona, FL 32738 | 2010-05-26 |
| 1750546313 | Northeast Florida Health Services, Inc. | Family Medicine | 2160 Howland Blvd Ste 110, Deltona, FL 32738 | 2008-07-23 |
| 1083741672 | Wal-mart Stores East, L.p | Technician/Technologist | 101 Howland Blvd., Deltona, FL 32738 | 2007-02-28 |
| 1801923644 | Yvonne Green | Adult Companion | 2816 W Huron Drive, Agency for Persons With Disabilities, Deltona, FL 32738 | 2007-02-28 |
| 1508900572 | Eudelisa Cubela | Technician | 3335 Hyder Ave, Deltona, FL 32738 | 2007-02-16 |
| 1942356324 | Steven J Smith | Dentist | 1382 Howland Boulevard, Suite 104, Deltona, FL 32738 | 2007-01-26 |
| Find all providers in zip 32738 | ||||
| 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 |
|---|---|---|---|---|
| 1922635424 | Kailashrx LLC | Pharmacy | 1240 Providence Blvd Ste 1, Deltona, FL 32725-7352 | 2020-03-25 |
| 1982052361 | Jjdrug Co | Pharmacy | 1240 Providence Blvd Ste 2, Deltona, FL 32725-7352 | 2016-05-26 |
| 1366546343 | Holiday Cvs LLC | Pharmacy | 2187 Howland Blvd, Deltona, FL 32738-3441 | 2006-09-12 |
| 1720182637 | Holiday Cvs LLC | Pharmacy | 1250 Providence Blvd, Deltona, FL 32725-7300 | 2006-09-12 |
| 1134664527 | Choice Meds Usa, Inc. | Pharmacy | 1857 Providence Blvd, Deltona, FL 32725-3811 | 2016-12-21 |
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|---|---|---|---|---|
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| 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 | ||||
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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.