WAL-MART STORES EAST LP (NPI# 1164449211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164449211 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-1306 |
Practice Address |
233 S New York Ave Alamogordo NM 88310-6531 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 5754345345 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-02-20 |
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 |
PH00001964 | NM | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2057712 | 01 | |
NM | 65540 | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-1306 | 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 |
233 S NEW YORK AVE |
City | ALAMOGORDO |
State | NM |
Zip Code | 88310-6531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881237162 | Miguel Angel Zizumbo | Pharmacist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2019-10-19 |
1700351970 | Sandra Dawn Ferrara | Pharmacist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2018-10-03 |
1356856579 | William Alexander Becker | Pharmacist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2017-12-11 |
1497153225 | Debra Dunn | Pharmacist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2014-12-10 |
1194136846 | Nathaniel Goddard | Pharmacist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2014-05-15 |
1619059102 | Wal-mart Stores East, Lp | Technician/Technologist | 233 S New York Ave, Alamogordo, NM 88310-6531 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
Find all providers in zip 88310 |
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 |
---|---|---|---|---|
1730677576 | Allan Yeh | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-04-26 |
1477108223 | Acp Pharmacy LLC | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2019-08-08 |
1689236440 | Acp Pharmacy LLC | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2019-07-02 |
1659778017 | United Supermarkets LLC | Pharmacy | 1300 10th St, Alamogordo, NM 88310-5805 | 2014-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
1790384261 | Mt. Cristo Pharmacy LLC | Pharmacy | 1155 Mcnutt Rd Ste 110, Sunland Park, NM 88063-9175 | 2020-10-25 |
1497362214 | Farmers Pharmacy Market LLC | Pharmacy | 501 W 18th St # 7233, Portales, NM 88130-7233 | 2020-09-25 |
1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
1912425109 | Bestcare Pharmacy Deming | Pharmacy | 812 E Florida St, Deming, NM 88030-5312 | 2017-09-07 |
1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
1457877425 | Dorado Sf Ltd | Pharmacy | 7 Caliente Rd, Santa Fe, NM 87508-3102 | 2017-08-21 |
1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
1922520667 | Bestcare Pharmacy Chama LLC | Pharmacy | 2215 State Road 17, #b, Chama, NM 87520 | 2017-07-14 |
Find all providers with the same taxonomy |
City | ALAMOGORDO |
Zip Code | 88310 |
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.