WAL-MART STORES EAST LP (NPI# 1841709516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841709516 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WALMART PHARMACY 10-7179 |
Practice Address |
1109 W Corbett Ave Swansboro NC 28584-8461 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 9107085012 |
Practice Fax Number | 9107085023 |
Mailing Telephone | 4792772500 |
Mailing Fax Number | 4792774331 |
Enumeration Date | 2017-09-26 |
Last Update Date | 2018-01-29 |
Authorized Official Name | SARAH LITTLE (DIRECTOR HEALTHCARE CONTRACTING) |
Authorized Official Telephone | 4792772500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | 13411 | NC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2172769 | 01 |
Other Name | Type Code |
---|---|
Walmart Pharmacy 10-7179 | Other Name - Individual/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 |
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 |
1255871778 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6801 Black Horse Pike Ste 100, Ste 100, Egg Harbor Township, NJ 08234-4131 | 2017-03-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
Street Address |
1109 W CORBETT AVE |
City | SWANSBORO |
State | NC |
Zip Code | 28584-8461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
Find all providers in zip 28584 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
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1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
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.