WAL-MART STORES EAST LP (NPI# 1053338368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053338368 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3347 |
| Practice Address |
7450 Cypress Gardens Blvd Winter Haven FL 33884-6200 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8633180252 |
| Practice Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-07-19 |
| 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 |
PH21713 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PH21713 | 05 | |
| FL | 031213401DME | 05 | |
| FL | 031213400 | 05 | |
| PK | 2005433 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-3347 | 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 |
7450 CYPRESS GARDENS BLVD |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354847 | Sally Wilson | Pharmacist | 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 | 2019-12-26 |
| 1114565702 | Jennifer Marie Van Ryswyk | Pharmacist | 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 | 2019-12-15 |
| 1336663525 | Steven Ryan Tu | Pharmacist | 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 | 2017-07-28 |
| 1801217971 | Eva Karen Boswell O.d.p.a | Optometrist | 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-6200 | 2013-12-17 |
| 1790827939 | Eva Karen Boswell | Optometrist | 7450 Cypress Gardens Blvd, Wal-mart Optical, Winter Haven, FL 33884-6200 | 2007-02-13 |
| 1114002052 | Wal-mart Stores East, Lp | Technician/Technologist | 7450 Cypress Gardens Blvd, Winter Haven, FL 33884-3247 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| 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 |
|---|---|---|---|---|
| 1508316043 | Sbc Health Inc | Pharmacy | 8166 Jamestown Dr, Carlton Arms, Winter Haven, FL 33884-4813 | 2016-10-07 |
| 1629270491 | Bobs Pharmacy & Diabetic Supplies | Pharmacy | 2860 Highway 17 North, Winter Haven, FL 33881-1435 | 2007-06-04 |
| 1265536247 | Holiday Cvs LLC | Pharmacy | 860 Cypress Gardens Blvd, Winter Haven, FL 33880-4726 | 2006-09-12 |
| 1548364458 | Holiday Cvs LLC | Pharmacy | 7009 Cypress Gardens Blvd, Winter Haven, FL 33884-3278 | 2006-09-12 |
| 1811408396 | Baycare Urgent Care, LLC | Pharmacy | 400 1st St N, Winter Haven, FL 33881-4115 | 2017-10-24 |
| 1467827840 | Lakeland Family Pharmacy | Pharmacy | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2015-12-10 |
| 1609111764 | Cab Pharmacy Inc | Pharmacy | 1501 1st St S, Suite 1, Winter Haven, FL 33880-4307 | 2012-11-30 |
| 1255698122 | Nova Pharmacy Corp | Pharmacy | 950 1st St S Ste 103, Winter Haven, FL 33880-3607 | 2012-04-17 |
| 1184999328 | Karma Healthcare LLC | Pharmacy | 5999 Dundee Rd, 200, Winter Haven, FL 33884-1107 | 2012-03-21 |
| 1639323777 | Haven Enterprises, LLC | Pharmacy | 1460 6th St Se, Winter Haven, FL 33880-4505 | 2008-11-14 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
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.