WAL-MART STORES EAST LP (NPI# 1124436100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124436100 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3185 |
| Practice Address |
4226 Oakwood Ave Nw Huntsville AL 35810-4066 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 2563612087 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-07-23 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
114420 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1124436100 | 05 | |
| AL | 166450 | 05 | |
| PK | 2147322 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3185 | 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 |
4226 OAKWOOD AVE NW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35810-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352360 | Gary Scott Spivey | Pharmacist | 4226 Oakwood Ave Nw, Huntsville, AL 35810-4066 | 2018-07-05 |
| 1467822486 | Jakarta Robinson | Pharmacist | 4226 Oakwood Ave Nw, Huntsville, AL 35810-4066 | 2015-10-02 |
| 1720458979 | Eric Franks | Pharmacist | 4226 Oakwood Ave Nw, Huntsville, AL 35810-4066 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632928 | Janice Marie Scott | Technician | 3611 Grizzard Rd, Huntville, AL 35810 | 2019-10-31 |
| 1285094888 | Restore Therapy Services, Ltd | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2016-02-25 |
| 1932442290 | Angela Lynell Miller | Specialist | 3228 Suite D Lodge Rd, Huntsville, AL 35810 | 2013-04-04 |
| 1376795104 | Amy Kathryn Scott | Occupational Therapist | 2061 Poole Drive Nw, Huntsville, AL 35810 | 2008-10-10 |
| 1306968565 | Mary Ann Mcdonald | Nurse Practitioner | 410 Sivley Rd Sw, Huntsville, AL 35810 | 2007-04-06 |
| 1801934815 | Great Expressions Dental Care | Dentist | 5045 North Memorial Parkway, Ste D, Hunstville, AL 35810 | 2007-02-02 |
| 1912004185 | Anthony Toney | Dentist | 2585 Sparkman Dr, Huntsville, AL 35810 | 2006-09-20 |
| 1710998349 | North Rimm Pharmacy LLC | Pharmacy | 5045 N Memorial Pkwy, Ste A, Huntsville, AL 35810 | 2006-08-10 |
| 1659855088 | Ashley Marie Patel | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-09-21 |
| 1003309584 | Pamela L Cook | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-06-11 |
| Find all providers in zip 35810 | ||||
| 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 |
|---|---|---|---|---|
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1669809976 | Rick's Pharmacy, Inc. | Pharmacy | 1878 Jeff Rd, Suite D, Huntsville, AL 35806-4260 | 2013-10-01 |
| 1598869471 | Alabama Cvs Pharmacy LLC | Pharmacy | 100 Providence Main St Nw Ste G, Huntsville, AL 35806-4827 | 2006-09-12 |
| 1851494587 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2001 Cecil Ashburn Dr Se, Huntsville, AL 35802-2557 | 2006-09-07 |
| 1710998349 | North Rimm Pharmacy LLC | Pharmacy | 5045 N Memorial Pkwy, Ste A, Huntsville, AL 35810 | 2006-08-10 |
| 1841212628 | Alabama Cvs Pharmacy LLC | Pharmacy | 2750 Carl T Jones Dr Se, Huntsville, AL 35802-4913 | 2006-07-24 |
| 1336534379 | Phil's Pills Incorporated | Pharmacy | 2701 Patton Rd Sw, Suite E, Huntsville, AL 35805-4352 | 2015-04-06 |
| 1578984795 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 1963 Memorial Pkwy Sw, Huntsville, AL 35801-5036 | 2013-12-16 |
| 1790126639 | The Health Care Authority of The City of Huntsville | Pharmacy | 930 Franklin St Se, Huntsville, AL 35801-4312 | 2013-07-08 |
| 1457608598 | Harps Food Stores, Inc | Pharmacy | 115 Lee St, Huntsville, AR 72740-8059 | 2012-08-08 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35810 |
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.