WAL-MART STORES EAST LP (NPI# 1053578559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053578559 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5105 |
| Practice Address |
10 Riverton Commons Dr Front Royal VA 22630-6718 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 5406354140 |
| Enumeration Date | 2008-05-21 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004225 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2106347 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5105 | 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 |
10 RIVERTON COMMONS DR |
| City | FRONT ROYAL |
| State | VA |
| Zip Code | 22630-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698705 | Jean-arnaud Mamoudou Jose Keita | Pharmacist | 10 Riverton Commons Dr, Front Royal, VA 22630-6718 | 2020-10-29 |
| 1952901068 | Nekisha Grigsby | Pharmacist | 10 Riverton Commons Dr, Front Royal, VA 22630-6718 | 2020-10-28 |
| 1356708077 | Jennifer Haddock | Pharmacist | 10 Riverton Commons Dr, Front Royal, VA 22630-6718 | 2016-01-26 |
| 1831564376 | Wal-mart Stores East, Lp | Technician/Technologist | 10 Riverton Commons Dr, Front Royal, VA 22630-6718 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1841649712 | Daniel Mendez | Family Medicine | 140 W. Eleventh Street, Front Royal, VA 22630 | 2016-06-10 |
| 1669838579 | Valley Dental Care | Clinic/Center | 842 N. Shenandoah Ave., 1, Front Royal, VA 22630 | 2016-01-07 |
| 1447689088 | Erik Mitchell | Orthopaedic Surgery | 120 N Commerce Ave Ste 103, Front Royal, VA 22630 | 2013-11-04 |
| 1639439789 | John Talbot English IIi | Surgery | 1077 N Shenandoah Ave Ste A, Front Royal, VA 22630 | 2012-05-23 |
| 1316215122 | Roberta M Gilbert | Psychiatry & Neurology | 136 Ruffed Grouse Ct., Lake Frederick, VA 22630 | 2011-12-07 |
| 1407098601 | R.a.c. Security Systems, Inc | Durable Medical Equipment & Medical Supplies | 315 West 14th Street, Front Royal, VA 22630 | 2009-04-02 |
| 1699915298 | National Counseling Group, Inc | Counselor | 134 Peyton Street, Front Royal, VA 22630 | 2009-02-23 |
| 1346449774 | Uhs Front Royal LLC | Psychiatric Residential Treatment Facility | 202 West Criser Road, Suite 400, Front Royal, VA 22630 | 2007-07-16 |
| 1710194774 | Apple Valley Dental Group | Dentist | 869 John Marshall Highway, Suite A, Front Royal, VA 22630 | 2007-05-17 |
| Find all providers in zip 22630 | ||||
| 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 |
|---|---|---|---|---|
| 1588872022 | Virginia Cvs Pharmacy LLC | Pharmacy | 10 Crooked Run Plz, Front Royal, VA 22630-7004 | 2007-05-18 |
| 1740214303 | Lesters Pharmacy PC | Pharmacy | 20 South St, Front Royal, VA 22630-2220 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
| City | FRONT ROYAL |
| Zip Code | 22630 |
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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.