WAL-MART STORES EAST LP (NPI# 1013934132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013934132 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5343 |
| Practice Address |
10001 Southpoint Pkwy Fredericksburg VA 22407-2700 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5408344610 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004015 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010145244 | 05 | |
| PK | 2105592 | 01 | |
| VA | 1013934132 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5343 | 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 |
10001 SOUTHPOINT PKWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954619 | Thomas H Tsai | Optometrist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2005-10-04 |
| 1528668092 | Holly Corrigan | Pharmacist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2020-10-26 |
| 1245639814 | Dr Jana Bertke Od Pllc | Optometrist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2014-08-19 |
| 1205141587 | Dr. Thomas Tsai, O.d., Pllc | Optometrist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2010-08-11 |
| 1003998121 | Wal-mart Stores East, Lp | Technician/Technologist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2006-10-19 |
| 1609816271 | Susan Dale Levin | Optometrist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2006-06-08 |
| 1174588867 | Jana Lynn Bertke | Optometrist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| 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 |
|---|---|---|---|---|
| 1255832929 | Msp Rx LLC | Pharmacy | 501 E Highway St Ste 100, Fredericksburg, TX 78624-5101 | 2018-02-27 |
| 1356768162 | Genoa Healthcare, LLC | Pharmacy | 600 Jackson St Ste Q, Fredericksburg, VA 22401-5719 | 2014-03-19 |
| 1174684732 | Valu-med Inc. | Pharmacy | 707 N Llano St, Fredericksburg, TX 78624-3943 | 2006-12-13 |
| 1689772147 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 450 Chatham Heights Rd, Fredericksburg, VA 22405-2575 | 2006-09-20 |
| 1568566230 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 5832 Harrison Rd, Fredericksburg, VA 22407-4202 | 2006-09-12 |
| 1154424893 | Virginia Cvs Pharmacy LLC | Pharmacy | 4203 Plank Rd, Fredericksburg, VA 22407-4805 | 2006-09-07 |
| 1154431781 | Costco Wholesale Corporation | Pharmacy | 3102 Plank Rd # 600, Fredericksburg, VA 22407 | 2006-08-30 |
| 1891717575 | Virginia Cvs Pharmacy LLC | Pharmacy | 1180 Carl D Silver Pkwy, Fredericksburg, VA 22401-4913 | 2006-07-24 |
| 1730112020 | Goolricks Modern Pharmarcy Inc | Pharmacy | 901 Caroline St, Fredericksburg, VA 22401-5807 | 2006-07-09 |
| 1841231883 | Virginia Cvs Pharmacy LLC | Pharmacy | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2006-06-09 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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.