WAL-MART STORES EAST LP (NPI# 1013467505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013467505 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3959 |
| Practice Address |
3120 Mckamey Rd Knoxville TN 37921-4982 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 8653404507 |
| Practice Fax Number | 8653404508 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-10-07 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5934 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165951 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3959 | 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 |
3120 MCKAMEY RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452117 | Katherine Murphy | Pharmacist | 3120 Mckamey Rd, Knoxville, TN 37921-4982 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497151252 | Compounding Pharmacy of America | Pharmacy | 6216 Highland Place Way Ste 201, Knoxville, TN 37919-4068 | 2014-11-06 |
| 1942540828 | University Health System Inc | Pharmacy | 1924 Alcoa Hwy Ste Np100, Knoxville, TN 37920-1511 | 2013-02-28 |
| 1316215981 | Belew Drugs Washington Pike Inc | Pharmacy | 5908 Washington Pike Ste 102, Knoxville, TN 37918-7100 | 2011-12-09 |
| 1760717896 | Tennessee Cancer Specialists Pllc | Pharmacy | 1415 Old Weisgarber Rd Ste 200, Knoxville, TN 37909-1341 | 2009-10-07 |
| 1104057579 | Advanced Specialty Pharmacy of Knoxville, LLC | Pharmacy | 9947 Kingston Pike, Knoxville, TN 37922-6923 | 2009-08-04 |
| 1730221243 | B & P, Inc. | Pharmacy | 815 Merchant Rd, Knoxville, TN 37912-3817 | 2007-02-12 |
| 1922158245 | Kenton Howard Page | Pharmacy | 5034 N Broadway St Ste 220, Knoxville, TN 37918-2371 | 2007-01-11 |
| 1215008230 | Longs Kingston Pike Drugs Inc | Pharmacy | 4604 Kingston Pike, Knoxville, TN 37919-5230 | 2006-11-13 |
| 1265520084 | Walker & Wyatt, LLC | Pharmacy | 4206 Chapman Highway, Knoxville, TN 37920 | 2006-10-10 |
| 1881609485 | Total Health | Pharmacy | 7259 Oak Ridge Hwy, Knoxville, TN 37931-2614 | 2006-07-30 |
| 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.