WAL-MART STORES EAST LP (NPI# 1992196422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992196422 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3159 |
| Practice Address |
1 Teterboro Landing Dr Teterboro NJ 07608-1120 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 2013754004 |
| Practice Fax Number | 2013754003 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-02-05 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00739800 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0487619 | 05 | |
| PK | 2150256 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3159 | 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 |
1 TETERBORO LANDING DR |
| City | TETERBORO |
| State | NJ |
| Zip Code | 07608-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144411455 | Shirley G. Angel | Optometrist | 1 Teterboro Landing Dr, Inside Walmart Vision Center, Teterboro, NJ 07608 | 2007-08-05 |
| 1821699463 | Emmanuel B. Ekeh | Pharmacist | 1 Teterboro Landing Dr, Teterboro, NJ 07608-1120 | 2020-11-02 |
| 1467903880 | Angel Eyecare LLC | Clinic/Center | 1 Teterboro Landing Dr, Inside Walmart Vision Center, Teterboro, NJ 07608 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782387 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 1 Teterboro Landing Drive, Teterboro, NJ 07608 | 2015-02-05 |
| 1184899262 | Salvatore Raymond Gambino | Pathology | One Malcolm Avenue, Quest Diagnostics, Teterboro, NJ 07608 | 2008-04-29 |
| 1780709196 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 150 North Street, Teterboro, NJ 07608 | 2007-03-21 |
| 1083709208 | Leza N Gallo | Pathology | Quest Diagnostics, 1 Malcolm Avenue, Teterboro, NJ 07608 | 2006-10-04 |
| 1265542880 | Costco Wholesale Corporation | Pharmacy | 2 Teterboro Landing Dr, Teterboro, NJ 07608 | 2006-08-30 |
| 1558356287 | Rakesh K Singh | Internal Medicine | 16 Teterboro Landing Dr, Teterboro, NJ 07608 | 2005-09-19 |
| 1295371433 | Ilana Papernik | Counselor | 611 Route 46 West, Hasbrouck Heightd, NJ 07608 | 2019-11-22 |
| 1598963894 | Michael Chaump | Pathology | 1 Malcolm Ave, Teterboro, NJ 07608 | 2007-07-07 |
| 1679513105 | Anupama Gupta | Pathology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2006-06-06 |
| 1477178705 | Charmaine Ponce Thomas | Pathology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2020-06-12 |
| Find all providers in zip 07608 | ||||
| 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 |
|---|---|---|---|---|
| 1265542880 | Costco Wholesale Corporation | Pharmacy | 2 Teterboro Landing Dr, Teterboro, NJ 07608 | 2006-08-30 |
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|---|---|---|---|---|
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| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| 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.