WAL-MART STORES EAST, LP (NPI# 1770982001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770982001 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | WALMART PHARMACY 10-3865 |
| Practice Address |
420 E Lee St Sardis MS 38666-1236 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6624879001 |
| Practice Fax Number | 6624879003 |
| Mailing Telephone | 4792048705 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| 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 |
13604/ 1.2 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09785548 | 05 | |
| PK | 2147561 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3865 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1184156317 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 270 Heald Way, The Villages, FL 32163-6003 | 2017-03-28 |
| 1730611971 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 4401 Poole Rd., Raleigh, NC 27603-0000 | 2017-03-28 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1760933196 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 1705 S Kings Hwy, Myrtle Beach, SC 29577-4601 | 2016-10-20 |
| 1700335312 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 3045 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-0000 | 2016-09-23 |
| 1619425683 | Wal-mart Stores East, Lp | Technician/Technologist | 11930 Narcoossee Road, Orlando, FL 32832-0000 | 2016-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WAL-MART STORES EAST, LP | 708 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WAL-MART STORES EAST, LP, A LIMITED PARTNERSHIP OF DELAWARE | 708 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
420 E LEE ST |
| City | SARDIS |
| State | MS |
| Zip Code | 38666-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1528310539 | Lorri Cook | Registered Nurse | 4036 Spring Port Rd., Sardis, MS 38666 | 2012-10-15 |
| 1629329289 | Carmie Salina Blankenship | Nurse Practitioner | 124 S. Main St, Sardis, MS 38666 | 2012-09-24 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
| 1194745638 | Linda L Troy | Nurse Practitioner | 111 S. Main Street, Sardis, MS 38666 | 2006-07-20 |
| 1497783864 | Sallye S. Scott | Optometrist | 119 S Main Street, Sardis, MS 38666 | 2006-06-28 |
| 1316152093 | Peterrio Harris | Durable Medical Equipment & Medical Supplies | 322 Hernando St, Sardis, MS 38666-1010 | 2007-05-14 |
| 1366479610 | Healthcare Engineers | Nurse Practitioner | 111 W Lee St, Sardis, MS 38666-1124 | 2006-06-26 |
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1235102674 | Cary Nolan Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-02-08 |
| Find all providers in zip 38666 | ||||
| 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 |
|---|---|---|---|---|
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1407348832 | First Pharmacy Services | Pharmacy | 400 E Lee St, Sardis, MS 38666-1236 | 2018-06-01 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
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|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
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| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| 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.