WAL-MART STORES EAST LP (NPI# 1053339572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053339572 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WALMART PHARMACY 10-0723 |
Practice Address |
1420 Highway 231 S Troy AL 36081-2504 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 3345668009 |
Enumeration Date | 2006-07-17 |
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 |
109984 | AL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 1992125 | 01 | |
AL | 100003349 | 05 |
Other Name | Type Code |
---|---|
WALMART PHARMACY 10-0723 | 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 |
1420 HIGHWAY 231 S |
City | TROY |
State | AL |
Zip Code | 36081-2504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053880765 | Corey Ryan Koogler | Pharmacist | 1420 Highway 231 S, Troy, AL 36081-2534 | 2018-11-26 |
1104355759 | Gloria Grigg Hall | Pharmacist | 1420 Highway 231 S, Troy, AL 36081-2504 | 2017-06-07 |
1932399375 | Elizabeth Patten Hitchcock | Optometrist | 1420 Highway 231 S, Troy, AL 36081-2504 | 2007-08-01 |
1366531600 | Wal-mart Stores East, Lp | Technician/Technologist | 1420 Highway 231 S, Troy, AL 36081-2504 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
1275063596 | Brooks Anthony Taylor | Pharmacist | 1420 Us 231 South, Troy, AL 36081 | 2017-06-19 |
1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
1982055786 | Deandra Stewart | Chiropractor | 1340 Us-231 #3, Troy, AL 36081 | 2016-06-23 |
1184085953 | Emily Denise Jones | Physical Therapist | 1147 Highway 231 S Ste 9, Troy, AL 36081 | 2016-03-08 |
1265856769 | Mckenzie S Fallon | Counselor | 200 Cherry Street, Troy, AL 36081 | 2014-02-05 |
1457669871 | Troy Regional Physicians Inc | Clinic/Center | 1320 Highway 231 South, Suite 1, Troy, AL 36081 | 2010-09-20 |
1609199421 | Troy Health Services LLC | Obstetrics & Gynecology | 199 Scouting Circle, Troy, AL 36081 | 2010-03-08 |
1811134406 | Rachel Marie Green | Physical Therapist | 1118b Us Hwy 231, Troy, AL 36081 | 2009-01-19 |
1851541577 | Raoy D Lamb Od | Optometrist | 502 N Three Notch St, Troy, AL 36081 | 2008-09-30 |
Find all providers in zip 36081 |
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 |
---|---|---|---|---|
1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
1114423365 | Apotheco Pharmacy Troy LLC | Pharmacy | 2924 W Maple Rd, Troy, MI 48084-7031 | 2018-04-04 |
1942729561 | Mohalk Inc | Pharmacy | 471 Fulton St, Troy, NY 12180-3507 | 2017-09-14 |
1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
1881052611 | Accela Inc | Pharmacy | 1179 Maplelawn Dr Ste A, Troy, MI 48084-5515 | 2016-02-08 |
1922322007 | Ahak Co | Pharmacy | 1639 E Big Beaver Rd Ste 101, Troy, MI 48083-2053 | 2010-03-18 |
1780788448 | Cvs Albany LLC | Pharmacy | 461 2nd Ave, Troy, NY 12182-2933 | 2006-09-12 |
Find all providers in TROY |
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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.