WAL-MART STORES EAST LP (NPI# 1174922546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174922546 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-7329 |
| Practice Address |
120 S Odom St St. Pauls NC 28364 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 9102416158 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2017-02-21 |
| 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 |
12091 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147824 | 01 | |
| NC | 1174922546 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-7329 | 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 |
120 S ODOM ST |
| City | ST. PAULS |
| State | NC |
| Zip Code | 28364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783976 | Myranda Kari Hammonds | Specialist/Technologist | 11344 Deep Branch Rd., Maxton, NC 28364 | 2018-03-14 |
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1093138877 | Success Adolescent and Adult Services Inc. | Community/Behavioral Health | 665 E Saunders Street, Maxton, NC 28364 | 2014-01-29 |
| 1710314406 | Lauren Allia Jung | Pharmacist | 106 East Dr. Martin Luther King Jr. Dr., Maxton, NC 28364 | 2013-09-26 |
| 1568725646 | Katina Dianne Dial-scott | Counselor | 202 Hwy 74 West, Maxton, NC 28364 | 2012-06-22 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1710170238 | Fairley Support Group Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12519 Us Hwy 501 South, Maxton, NC 28364 | 2007-08-20 |
| 1114137692 | Debbie Hammonds Chavis | Specialist | 209 West Third Street, Pembroke, NC 28364 | 2007-05-23 |
| 1831209535 | Kerr Drug Inc A Delaware Company | Pharmacy | 106 Martin Luther King Dr, Maxton, NC 28364 | 2006-08-30 |
| Find all providers in zip 28364 | ||||
| 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 |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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.