WAL-MART STORES EAST LP (NPI# 1144677790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144677790 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 5774 |
| Practice Address |
6411 W Park Ave Houma LA 70364-2238 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 9852173664 |
| Practice Fax Number | 9852173663 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-05-24 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.007357-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160931 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 5774 | 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 |
6411 W PARK AVE |
| City | HOUMA |
| State | LA |
| Zip Code | 70364-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669183 | Pelican State Home and Community Services | Home Health Aide | 154 B South Hollywood Road, Houma, LA 70364 | 2019-06-27 |
| 1356708820 | Mmg Healthcare Services,llc | Home Health | 505 Holiday Dr, Houma, LA 70364 | 2016-01-28 |
| 1477894384 | Jacqueline B Spencer | Counselor | 249 T. Leigh Drive, Houma, LA 70364 | 2013-03-04 |
| 1497015622 | Compass Behavioral Center of Houma, LLC | Psychiatric Hospital | 4701 W Park Ave, Houma, LA 70364 | 2012-05-22 |
| 1629233994 | Elizabeth Billiot Cooper | Counselor | 409 Garnet St, Houma, LA 70364 | 2008-07-25 |
| 1306968524 | Septime Joseph Hymel Jr. | Optometrist | 5953 West Park Ave, Suite 2000, Houma, LA 70364 | 2007-04-06 |
| 1144348723 | The Therapy Group, LLC | Clinic/Center | 7843 Park Ave, Houma, LA 70364 | 2007-03-26 |
| 1437296142 | Keith M Lane | Dentist | 7024 Park Ave, Houma, LA 70364 | 2007-01-31 |
| 1376697706 | Janice Brownlee Naquin | Dentist | 114 Westside Blvd, Houma, LA 70364 | 2007-01-23 |
| 1093816167 | Jason Wonch Od and Associates Apc | Eyewear Supplier (Equipment, not the service) | 5953 West Park Avenue, Houma, LA 70364 | 2006-09-25 |
| Find all providers in zip 70364 | ||||
| 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 |
|---|---|---|---|---|
| 1477197531 | Green Leaf Dispensary LLC | Pharmacy | 6048 W Park Ave, Houma, LA 70364-1808 | 2019-11-01 |
| 1548730633 | Magnolia Drugs | Pharmacy | 1004 Barrow St, Houma, LA 70360-5606 | 2018-11-30 |
| 1487837464 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311, Ste 100, Houma, LA 70360-2810 | 2007-12-12 |
| 1215068804 | Walgreen Co | Pharmacy | 5831 W Park Ave, Houma, LA 70364-1424 | 2007-03-08 |
| 1801990742 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 7015 Park Ave, Houma, LA 70364-2850 | 2006-09-12 |
| 1609970516 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 437 Grand Caillou Rd, Houma, LA 70363-5165 | 2006-09-12 |
| 1396750568 | Walgreen Co | Pharmacy | 1435 W Tunnel Blvd, Houma, LA 70360-2738 | 2006-07-29 |
| 1396750550 | Walgreen Co | Pharmacy | 1511 E Tunnel Blvd, Houma, LA 70363-5849 | 2006-07-29 |
| 1427071703 | Louisiana Cvs Pharmacy LLC | Pharmacy | 1727 Martin Luther King Jr Blvd, Houma, LA 70360-2409 | 2006-07-26 |
| 1306471743 | Pharmacy Express LLC | Pharmacy | 1963 Prospect Blvd, Houma, LA 70363-6047 | 2020-03-05 |
| Find all providers in HOUMA | ||||
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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.