WAL-MART STORES EAST LP (NPI# 1922025345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922025345 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-1184 |
Practice Address |
1825 Rockbridge Rd Stone Mountain GA 30087-3335 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 7704698570 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-02-28 |
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 |
PHRE006924 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2015521 | 01 | |
GA | 00365329A | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-1184 | 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 |
1825 ROCKBRIDGE RD |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30087-3335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284331 | Carmen Orizabal | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-31 |
1336749795 | Najrul Usta | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-27 |
1477905594 | Gamble Dentalsmart, PC | Dentist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2016-07-13 |
1346626686 | Robin Mcghee Od PC | Optometrist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2015-08-10 |
1396071270 | Dentures and Family Dentistry | Health Maintenance Organization | 1825 Rockbridge Rd, Suite 14 C, Stone Mountain, GA 30087-3335 | 2009-10-27 |
1164566931 | Robin Mcghee | Optometrist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2007-02-16 |
1932299534 | Wal-mart Stores East, Lp | Technician/Technologist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
Find all providers in zip 30087 |
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 |
---|---|---|---|---|
1699393173 | Redan Community Pharmacy LLC | Pharmacy | 4108 Redan Rd Ste A, Stone Mountain, GA 30083-5070 | 2020-07-10 |
1427151984 | Georgia Cvs Pharmacy LLC | Pharmacy | 1140 N Hairston Rd, Stone Mountain, GA 30083-5800 | 2006-09-07 |
1710080569 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5755 Rockbridge Rd, Stone Mountain, GA 30087-5702 | 2006-09-07 |
1023023223 | Walgreen Co | Pharmacy | 5320 Memorial Dr, Stone Mountain, GA 30083-3201 | 2006-07-29 |
1962417071 | Walgreen Co | Pharmacy | 5435 Five Forks Trickum Rd, Stone Mountain, GA 30087-3045 | 2006-07-29 |
1619902269 | Apothecarepharmacies Inc. | Pharmacy | 1192b Rockbridge Rd, Stone Mountain, GA 30087-2903 | 2006-07-12 |
1346494838 | Comfort Pharmacy Inc | Pharmacy | 870 Main St, Stone Mountain, GA 30083-3621 | 2008-11-10 |
1528162443 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 7207 Rockbridge Rd, Stone Mountain, GA 30087-6320 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30087 |
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.