WAL-MART STORES EAST LP (NPI# 1891712998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891712998 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2565 |
| Practice Address |
197 Madison Heights Sq Madison Heights VA 24572-6243 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4348462670 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-15 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003427 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008501491 | 05 | |
| PK | 2107241 | 01 | |
| VA | 8501491 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2565 | 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 |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
197 MADISON HEIGHTS SQ |
| City | MADISON HEIGHTS |
| State | VA |
| Zip Code | 24572-6243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052985 | Asfawosen Bekele | Pharmacist | 197 Madison Heights Sq, Madison Heights, VA 24572-6243 | 2020-10-26 |
| 1922628361 | Charles David Manion | Pharmacist | 197 Madison Heights Sq, Madison Heights, VA 24572-6243 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544453 | Select Rehab | Assisted Living Facility | 268 Hilltop Dr, Madison Heights, VA 24572 | 2016-09-01 |
| 1740421031 | Deborah Lynch Fletcher | Nurse's Aide | 5068 South Amherst Hwy, Madison Heights, VA 24572 | 2009-03-16 |
| 1710143854 | Commonwealth Chiropractic Center, Inc. | Chiropractor | 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 | 2008-07-29 |
| 1174689020 | Sunrise Adult Day Care Center | Durable Medical Equipment & Medical Supplies | 4830 South Amherst Hwy, Madison Heights, VA 24572 | 2006-12-28 |
| 1942385786 | Madison Heights Eye Care PC Optometrists | Optometrist | 5076 South Amherst Hwy, Madison Heights, VA 24572 | 2006-10-26 |
| 1710078183 | Patricia L Evans | Pharmacist | 521 Colony Rd Rt 210 East, Madison Heights, VA 24572 | 2006-09-28 |
| 1952407330 | Fredrick P Reynolds | Optometrist | 5076 S. Amherst Highway, Madison Heights, VA 24572 | 2006-09-15 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1891725370 | Amy N French | Social Worker | 3742 S Amherst Hwy, Madison Heights, VA 24572 | 2006-07-03 |
| 1730610841 | Janna Laverdiere | Dentist | 239 Trojan Rd, Madison Heights, VA 24572 | 2017-03-21 |
| Find all providers in zip 24572 | ||||
| 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 |
|---|---|---|---|---|
| 1508408246 | Aspop, LLC | Pharmacy | 27351 Dequindre Rd Ste 199, Madison Heights, MI 48071-3487 | 2019-10-15 |
| 1235609249 | Great Health Pharmacy Inc | Pharmacy | 28147 John R Rd, Madison Heights, MI 48071-2810 | 2018-12-03 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1588173777 | Neha Pharmacy Inc | Pharmacy | 30551 Stephenson Hwy Ste 1, Madison Heights, MI 48071-1648 | 2017-09-20 |
| 1124488168 | Ayama Corp | Pharmacy | 26795 John R Road Suite B, Madison Heights, MI 48071 | 2016-03-03 |
| 1205260841 | John R Express Pharmacy PC | Pharmacy | 26100 John R Rd, Madison Heights, MI 48071-3648 | 2013-08-31 |
| 1770642837 | Virginia Cvs Pharmacy L L C | Pharmacy | 4861 Amherst Hwy, Madison Heights, VA 24572-2497 | 2006-12-06 |
| 1538261813 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31030 John R Rd, Madison Heights, MI 48071 | 2006-09-05 |
| 1457463382 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 27050 John R Rd, Madison Heights, MI 48071-3326 | 2006-08-31 |
| 1932219557 | Costco Wholesale Corporation | Pharmacy | 30550 Stephenson Hwy, Madison Heights, MI 48071 | 2006-08-30 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 24572 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| 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.