WAL-MART STORES EAST LP (NPI# 1144247420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144247420 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2170 |
| Practice Address |
220 Salem Tpke Norwich CT 06360-6455 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8608897530 |
| 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 |
PCY.0001519 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004136158 | 05 | |
| CT | 940004136158 | 05 | |
| PK | 2000422 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2170 | 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 |
220 SALEM TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154358 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-05-24 |
| 1093223745 | Garrett Davis | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2018-01-16 |
| 1962915637 | Lisa Adams | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2017-11-15 |
| 1770095598 | Anthony Zarra | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2017-11-02 |
| 1316482094 | John Woodcock, Jr | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2017-01-04 |
| 1013365238 | Erica Yorgensen | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1154779379 | Justine Burdick | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1770667099 | Walmart Stores East, Lp | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-24 |
| 1497836829 | Mark D. Yorgensen | Optometrist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| 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 |
|---|---|---|---|---|
| 1578033569 | Uncas Pharmacy LLC | Pharmacy | 20 Town St, Norwich, CT 06360-2306 | 2018-12-03 |
| 1225313901 | Walgreens Pharmacy | Pharmacy | 399 West Main St, Norwich, CT 06360 | 2011-10-13 |
| 1457460941 | Rite Aid of New York Inc | Pharmacy | 90 N Broad Street, Norwich, NY 13815-1312 | 2006-08-29 |
| 1720093073 | Walgreen Co | Pharmacy | 399 W Main St, Norwich, CT 06360-5414 | 2006-07-29 |
| 1366546087 | Greenville Drug Store Inc | Pharmacy | 213 Central Ave, Norwich, CT 06360-3801 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1568072627 | Corporate Pharmacy Corp | Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | 2020-08-04 |
| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
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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.