WAL-MART STORES EAST LP (NPI# 1861419244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861419244 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WALMART PHARMACY 10-1605 |
Practice Address |
4600 Mobile Hwy Ste 122 Pensacola FL 32506-3500 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 8504553620 |
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 |
PH15406 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 101027100 | 05 | |
PK | 2010460 | 01 |
Other Name | Type Code |
---|---|
WALMART PHARMACY 10-1605 | 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 |
4600 MOBILE HWY STE 122 |
City | PENSACOLA |
State | FL |
Zip Code | 32506-3500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538799416 | Shane V Chordas | Pharmacist | 4600 Mobile Hwy Ste 122, Pensacola, FL 32506-3500 | 2020-01-20 |
1013445014 | Randy Joe Johns | Pharmacist | 4600 Mobile Hwy Ste 122, Pensacola, FL 32506-3500 | 2017-06-02 |
1972695401 | Wal-mart Stores East, Lp | Technician/Technologist | 4600 Mobile Hwy Ste 122, Pensacola, FL 32506-3500 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
Find all providers in zip 32506 |
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 |
---|---|---|---|---|
1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
1639680242 | Gastroenterology Associates of Pensacola Pa | Pharmacy | 4531 N Davis Hwy Ste B, Pensacola, FL 32503-2770 | 2017-10-23 |
1922300565 | Josephs Pharmacy LLC | Pharmacy | 3130 N Pace Blvd, Pensacola, FL 32505-5140 | 2010-12-02 |
1043536964 | American Pharmacy Solutions LLC | Pharmacy | 5001 Commerce Park Cir, Pensacola, FL 32505-1659 | 2010-04-16 |
1497890800 | Walgreen Co | Pharmacy | 85 Beverly Pkwy, Pensacola, FL 32505-2813 | 2007-02-21 |
1932275690 | East Hill Pharmacy Inc | Pharmacy | 2899 N 12th Ave, Pensacola, FL 32503-4001 | 2006-11-27 |
1154495505 | A & E Pharmacy, Inc. | Pharmacy | 923 N New Warrington Rd, Pensacola, FL 32506-4250 | 2006-11-19 |
1952408445 | Holiday Cvs LLC | Pharmacy | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2006-09-19 |
1033216528 | Holiday Cvs LLC | Pharmacy | 4500 Saufley Field Rd, Pensacola, FL 32526 | 2006-09-19 |
1649374513 | Holiday Cvs LLC | Pharmacy | 3880 N 9th Ave, Pensacola, FL 32503-2802 | 2006-09-12 |
Find all providers in PENSACOLA |
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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.