WAL-MART STORES EAST LP (NPI# 1194742353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742353 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0795 |
| Practice Address |
11391 Dunbarton Blvd Barnwell SC 29812-3033 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8032590066 |
| 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 |
2695 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2090351 | 01 | |
| SC | 726954 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0795 | 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 |
11391 DUNBARTON BLVD |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700327574 | Megan Amanda Branham | Pharmacist | 11391 Dunbarton Blvd, Barnwell, SC 29812-3033 | 2017-03-13 |
| 1699170563 | David Ray Kanagy Jr. | Pharmacist | 11391 Dunbarton Blvd, Barnwell, SC 29812-3033 | 2014-11-04 |
| 1528487618 | Cynthia Ann Colson | Pharmacist | 11391 Dunbarton Blvd, Barnwell, SC 29812-3033 | 2014-04-16 |
| 1346669421 | Megan Creech Anderson | Pharmacist | 11391 Dunbarton Blvd, Barnwell, SC 29812-3033 | 2014-04-16 |
| 1659790053 | Delphine Felder | Pharmacist | 11391 Dunbarton Blvd, Barnwell, SC 29812-3033 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| Find all providers in zip 29812 | ||||
| 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 |
|---|---|---|---|---|
| 1427146059 | Barnwell Health Investors | Pharmacy | 178 Wren St, Barnwell, SC 29812-1527 | 2006-10-10 |
| 1528161205 | South Carolina Cvs Pharmacy LLC | Pharmacy | 9912 Dunbarton Blvd, Barnwell, SC 29812-1442 | 2006-09-07 |
| 1982949590 | Barnwell Healthinvestors Inc | Pharmacy | 178 Wren St, Barnwell, SC 29812-1527 | 2012-12-07 |
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|---|---|---|---|---|
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| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| 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.