WAL-MART STORES EAST LP (NPI# 1881611010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881611010 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2043 |
| Practice Address |
2348 Route 19 N Warsaw NY 14569-9356 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5857860880 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 |
23354 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1453401 | 05 | |
| PK | 2063140 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2043 | 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 |
2348 ROUTE 19 N |
| City | WARSAW |
| State | NY |
| Zip Code | 14569-9356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770715518 | Ethel Ann Brown | Pharmacist | 2348 Route 19 N, Warsaw, NY 14569-9356 | 2009-08-12 |
| 1255517553 | Eulalia Y Ralph | Pharmacist | 2348 Route 19 N, Warsaw, NY 14569-9356 | 2008-01-16 |
| 1871779397 | Anna M Cordier | Pharmacist | 2348 Route 19 N, Warsaw, NY 14569-9356 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1215576806 | Danielle Lynn Kwiecien | Physical Therapist | 400 N Main Warsaw Ny 14569, Warsaw, NY 14569 | 2019-12-30 |
| 1295975415 | Brandie Rajk-winter | Counselor | 433 North Main St., Warsaw, NY 14569 | 2009-02-27 |
| 1104048511 | Anthony Emmanuel Trigenis | Internal Medicine | 2 Karaoli St, Anixis, ATTIKIS 14569 | 2007-05-03 |
| 1477680908 | Nancy L. Mcnair | Occupational Therapy Assistant | 400 N. Main Street, Warsaw, NY 14569 | 2007-02-28 |
| 1821173360 | Carolyn Kate Schofield | Speech-Language Pathologist | 400 North Main St, Wyoming County Community Hospital, Warsaw, NY 14569 | 2006-10-25 |
| 1871673665 | Pamela Zola | Speech-Language Pathologist | Wyoming County Community Hospital, 400 North Main Street, Warsaw, NY 14569 | 2006-10-16 |
| 1538101696 | Dharam Paul Singla | Internal Medicine | 38 Duncan St, Suite 3, Warsaw, NY 14569 | 2006-06-12 |
| 1154386142 | Rajendrakumar M Patel | Internal Medicine | 5 Salina St, Warsaw, NY 14569 | 2006-04-20 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| Find all providers in zip 14569 | ||||
| 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 |
|---|---|---|---|---|
| 1891003661 | Martin's Super Markets, Inc. | Pharmacy | 1150 Husky Trl, Warsaw, IN 46582-1952 | 2010-09-15 |
| 1043309263 | Boring Rexall Drug | Pharmacy | 161 W Main, Warsaw, MO 65355 | 2006-10-12 |
| 1023111754 | Hook Superx LLC | Pharmacy | 100 N Detroit St, Warsaw, IN 46580-3329 | 2006-09-07 |
| 1427063577 | Walgreen Co | Pharmacy | 2400 E Center St, Warsaw, IN 46580-3817 | 2006-07-29 |
| 1346375359 | Beringer Drug Store Inc | Pharmacy | 102 West Main St, Suite A, Warsaw, KY 41095 | 2007-02-22 |
| 1639214232 | Warsaw Drug Co Inc | Pharmacy | 204 N Front St, Warsaw, NC 28398-1833 | 2007-02-21 |
| 1881757920 | Wyoming Rexall Drug Inc | Pharmacy | 91 N Main St, Warsaw, NY 14569-1343 | 2006-12-19 |
| 1609937531 | J Rutowski and Sons Inc | Pharmacy | 75 N Main St, Warsaw, NY 14569-1343 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 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.