WAL-MART STORES EAST LP (NPI# 1104843408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104843408 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0923 |
| Practice Address |
16865 Clover Rd Noblesville IN 46060-3640 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3177731065 |
| Enumeration Date | 2006-07-16 |
| 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 |
60005195 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2026389 | 01 | |
| IN | 100296730 | 05 | |
| IN | 100296730A | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0923 | 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 |
16865 CLOVER RD |
| City | NOBLESVILLE |
| State | IN |
| Zip Code | 46060-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659309177 | Dawn Renee Cassidy | Optometrist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2006-06-30 |
| 1538780879 | Sheryl Dietrich | Pharmacist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2020-04-28 |
| 1871072322 | Jeanette Barbara Van De Venter | Pharmacist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2018-08-07 |
| 1558857243 | Gabrijela G Lee | Pharmacist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2018-07-05 |
| 1821584798 | Katherine Maze Brookie Moffett | Pharmacist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2018-07-03 |
| 1548528151 | Mark David Miller P C | Clinic/Center | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2012-05-02 |
| 1285716100 | Wal-mart Stores East, Lp | Technician/Technologist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2006-10-19 |
| 1205938271 | Mark D Miller | Optometrist | 16865 Clover Rd, Noblesville, IN 46060-3640 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932770 | Leah Marie Jurek | Physical Therapist | 9600 E 146th St, Noblesville, IN 46060 | 2019-06-28 |
| 1770142481 | Allison Elizabeth Tschuor | Speech-Language Pathologist | 9600 E. 146th St., Noblesville, IN 46060 | 2019-06-07 |
| 1700345600 | William Becker | Counselor | 970 Logan St., Noblesville, IN 46060 | 2019-03-19 |
| 1427515550 | Noblesville Assisted Living Group, LLC | Assisted Living Facility | 9600 E. 146th Street, Noblesville, IN 46060 | 2019-02-25 |
| 1568934271 | Papa M Diop | Nurse Practitioner | 9460 E 146th Street, Noblesville, IN 46060 | 2018-12-19 |
| 1205301769 | Noble Eyes, P.C. | Clinic/Center | 13300 Tegler Dr., Suite 110, Noblesville, IN 46060 | 2018-10-10 |
| 1013409994 | Reesa Smith | Marriage & Family Therapist | 23 S. 8th St, Suite 3700, Noblesville, IN 46060 | 2018-06-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1447636113 | Melissa Fields | Nurse Practitioner | 203 Regent Ct, Noblesville, IN 46060 | 2015-08-05 |
| 1225419336 | Lauren Lee Brady | Counselor | 205 Westfield Rd., Noblesville, IN 46060 | 2015-06-15 |
| Find all providers in zip 46060 | ||||
| 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 |
|---|---|---|---|---|
| 1023251444 | Hook-superx, L.L.C. | Pharmacy | 14575 Mundy Dr, Noblesville, IN 46060-7224 | 2009-04-15 |
| 1770590713 | Walgreen Co | Pharmacy | 2380 Pleasant St, Noblesville, IN 46060-3623 | 2006-08-02 |
| 1649285958 | Walgreen Co | Pharmacy | 555 Westfield Rd, Noblesville, IN 46060-1321 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1669095261 | Abi Westend Pharmacy | Pharmacy | 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 | 2020-05-19 |
| 1982224911 | Apotheco Pharmacy Carmel LLC | Pharmacy | 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 | 2020-04-20 |
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1831749399 | Julie Cindric | Pharmacy | 720 Adams St Ste 100, Carmel, IN 46032-7541 | 2019-09-17 |
| 1346898889 | Milan Pharmacy Inc | Pharmacy | 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 | 2019-08-28 |
| 1093361867 | Cameron Medical Outreach, Inc | Pharmacy | 306 E Maumee St Ste 106, Angola, IN 46703-2038 | 2019-08-16 |
| 1962055186 | Custom Dosing East | Pharmacy | 4319 Franklin St, Michigan City, IN 46360-7806 | 2019-07-17 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | NOBLESVILLE |
| Zip Code | 46060 |
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.