WAL-MART STORES EAST LP (NPI# 1972520161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972520161 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2310 |
| Practice Address |
3051 Kinzel Way Knoxville TN 37924-2190 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8655440120 |
| Practice Fax Number | 8655440026 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| 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 |
C3063 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2091944 | 01 | |
| TN | 1454083 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2310 | 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 |
3051 KINZEL WAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37924-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1427684786 | Brittany Booker Shope | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2020-03-19 |
| 1659926376 | Jessica C Stringfellow | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2019-08-08 |
| 1215402599 | Amy Lynn Madigan | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2018-10-12 |
| 1205324035 | Douglas Poff | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2018-04-26 |
| 1174011357 | Kristen Ann Morgan | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2018-04-24 |
| 1407356496 | Katrina Debusk | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2018-02-15 |
| 1356840870 | David Samuel Patil | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924 | 2018-02-10 |
| 1447689070 | Scott David Kelley | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2013-11-04 |
| 1780885350 | Mathew E Turner | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930380 | Mina Farrar | Nurse Practitioner | 139 Fox Rd Suite 201, Knoxville, TN 37924 | 2014-12-04 |
| 1639211667 | Ben Crawford Lott | Pharmacist | 8727-a Asheville Hwy, Knoxville, TN 37924 | 2007-02-13 |
| 1790850832 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3001 Knoxville Center Dr Ste O, Knoxville, TN 37924 | 2006-11-22 |
| 1851462329 | Daniel Devine | Optometrist | 3000 Mall Road North, Knoxville Center Mall, Knoxville, TN 37924 | 2006-11-13 |
| 1518058056 | James Michael Andrews | Physical Therapy Assistant | 8309 Asheville Hwy., Knoxville, TN 37924 | 2006-09-28 |
| 1669405056 | Dialysis Clinic,inc. | Clinic/Center | 5811 E Gov.johnseiver Hwy, Knoxville, TN 37924 | 2006-07-08 |
| 1497909519 | Damorrah Goode | Physical Therapy Assistant | 8309 Asheville Hwy, Knoxville, TN 37924 | 2008-11-17 |
| 1154576510 | Vonda Mcgill | Social Worker | 3947 Bud Mcmillan Rd, Knoxville, TN 37924-1010 | 2008-11-25 |
| 1962019398 | Kayla Blaire Hinkle | Registered Nurse | 8010 Chestnut Hill Ln, Knoxville, TN 37924-1054 | 2020-09-29 |
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| Find all providers in zip 37924 | ||||
| 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 |
|---|---|---|---|---|
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1346706066 | Pharmacy and Surgical Supplies Inc | Pharmacy | 4120 Asheville Hwy, Knoxville, TN 37914-3505 | 2019-02-18 |
| 1518459866 | Rocky Hill Pharmacy, LLC | Pharmacy | 7660 S Northshore Dr, Knoxville, TN 37919-8003 | 2018-06-02 |
| 1689183774 | Belew Drug Choto, Inc. | Pharmacy | 1616 Choto Markets Way, Knoxville, TN 37922-5760 | 2017-09-21 |
| 1598152498 | Caremax Community Pharmacy LLC | Pharmacy | 418 S Gay St Ste 104, Knoxville, TN 37902-1134 | 2015-04-20 |
| 1952715708 | Wal-mart Stores East Lp | Pharmacy | 2501 Univ Commons Way, Knoxville, TN 37919-5584 | 2014-06-19 |
| 1861804692 | Aasc Pharmacy Services | Pharmacy | 6701 Baum Dr, Suite 140, Knoxville, TN 37919-7360 | 2014-05-28 |
| 1366785867 | Parkwest Medical Center | Pharmacy | 220 Fort Sanders West Blvd Ste 104, Knoxville, TN 37922-3373 | 2013-04-03 |
| 1477697589 | Four Way Prescription Shop | Pharmacy | 8707a Asheville Hwy, Knoxville, TN 37924-4502 | 2007-02-20 |
| 1912049503 | Mugford Pharmacy Inc. | Pharmacy | 3909 Martin Mill Pike, Knoxville, TN 37920-2456 | 2007-02-12 |
| Find all providers in KNOXVILLE | ||||
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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.