WAL-MART STORES EAST LP (NPI# 1043239023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043239023 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0817 |
| Practice Address |
4444 W Vine St Kissimmee FL 34746-5315 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4073971002 |
| Enumeration Date | 2006-07-19 |
| 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 |
PH15403 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2007748 | 01 | |
| FL | 109585400 | 05 | |
| FL | 034172000 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0817 | 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 |
4444 W VINE ST |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645974 | Andrew Joseph Ciambrone | Optometrist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2005-11-02 |
| 1316581895 | Kaitlyn Fedak | Pharmacist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2019-10-29 |
| 1316125693 | Ciambrone Vision Od Pl | Optometrist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2008-02-08 |
| 1316060924 | Kiria S. Toledo | Pharmacist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2007-04-09 |
| 1265521868 | Wal-mart Stores East, Lp | Technician/Technologist | 4444 W Vine St, Kissimmee, FL 34746-5315 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| 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 |
|---|---|---|---|---|
| 1588107528 | Sunrise Pharmacy of Kissimmee LLC | Pharmacy | 4543 Pleasant Hill Rd Ste D, Kissimmee, FL 34759-3406 | 2016-11-23 |
| 1518312909 | Iglesia Bautista Central De Kissimmee, Inc. | Pharmacy | 1420 Simpson Rd, Kissimmee, FL 34744-4600 | 2016-05-04 |
| 1336561364 | C&m Healthpro LLC | Pharmacy | 1530-b W Vine St, Kissimmee, FL 34741 | 2014-01-10 |
| 1447688452 | Ritemed Pharmacy | Pharmacy | 1014 Cypress Pkwy, Kissimmee, FL 34759-3328 | 2013-10-30 |
| 1871842666 | The Hunter's Creek, LLC | Pharmacy | 1196 Cypress Glen Cir., Kissimmee, FL 34741 | 2012-09-07 |
| 1588952030 | Pharmacy 4u Inc | Pharmacy | 1026 Mann St, Kissimmee, FL 34741-4121 | 2011-07-19 |
| 1588999429 | Joseykay Consultant Services, Inc | Pharmacy | 406 E Vine St, Kissimmee, FL 34744-4274 | 2009-10-09 |
| 1588893184 | Colonial Drugs of Kissimmee, LLC | Pharmacy | 728 N John Young Pkwy, Kissimmee, FL 34741-4985 | 2009-07-06 |
| 1871739219 | Holiday Cvs LLC | Pharmacy | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2009-01-06 |
| 1417123555 | Walgreen Co. | Pharmacy | 3769 Pleasant Hill Rd, Kissimmee, FL 34746-2937 | 2008-05-07 |
| Find all providers in KISSIMMEE | ||||
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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.