WAL-MART STORES EAST LP (NPI# 1205853421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205853421 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1758 |
| Practice Address |
3167 S State Road 3 New Castle IN 47362-1318 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7655295997 |
| 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 |
60005081 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100297260A | 05 | |
| PK | 2027245 | 01 | |
| IN | 100297260 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1758 | 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 |
3167 S STATE ROAD 3 |
| City | NEW CASTLE |
| State | IN |
| Zip Code | 47362-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762752 | Diane Detering | Pharmacist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2019-07-22 |
| 1033762778 | Michele Sharyn Hook | Pharmacist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2019-07-22 |
| 1013560259 | Ryan Paul Nuccio | Pharmacist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2019-07-17 |
| 1992876858 | Thomas C Fitzgerald | Optometrist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2006-11-13 |
| 1639252349 | Wal-mart Stores East, Lp | Technician/Technologist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2006-10-24 |
| 1255313672 | Norman Glenn Skinner | Pharmacist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2005-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898183 | Anthony S Catron | Registered Nurse | 1229 Saint James Dr, New Castle, IN 47362 | 2018-04-12 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1457600876 | Linda I Sweigart | Registered Nurse | 4235 S Main St, New Castle, IN 47362 | 2012-08-30 |
| 1063797355 | Occazio, Inc | Counselor | 339 South Highway 3, New Castle, IN 47362 | 2011-10-18 |
| 1790099166 | Bethany Cares Inc. | Home Health | 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 | 2010-07-28 |
| 1164733945 | Jamie Sue Cate | Hearing Instrument Specialist | 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 | 2010-06-28 |
| 1649400987 | Amy Wright | Dietitian, Registered | 615 State Road 38 W, New Castle, IN 47362 | 2009-07-21 |
| 1447449285 | Amber J Harless | Marriage & Family Therapist | 3337 S State Road 3, New Castle, IN 47362 | 2007-10-17 |
| 1710172309 | Assisted Living Concepts Inc | Assisted Living Facility | 2244 Q Avenue, New Castle, IN 47362 | 2007-09-07 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| Find all providers in zip 47362 | ||||
| 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 |
|---|---|---|---|---|
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1689955163 | Biotek Remedys Inc | Pharmacy | 2 Penns Way Ste 404, New Castle, DE 19720-2407 | 2011-08-29 |
| 1225356488 | Ssv Pharma Inc | Pharmacy | 232 New Castle Ave, New Castle, DE 19720-2701 | 2010-05-12 |
| 1194893214 | Mcgrady Family Pharmacy Inc | Pharmacy | 1697 South Memorial Drive, New Castle, IN 47362 | 2006-11-30 |
| 1891884557 | Rite Aid of Pennsylvania Inc | Pharmacy | 648 East Washington Street, New Castle, PA 16101-4169 | 2006-10-12 |
| 1528163565 | Walgreen Co | Pharmacy | 1210 Wilmington Ave, New Castle, PA 16105-2569 | 2006-09-14 |
| 1144323825 | Hook Superx LLC | Pharmacy | 220 S Memorial Dr, New Castle, IN 47362-4948 | 2006-09-07 |
| 1194828947 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 1805 Wilmington Rd, New Castle, PA 16105-1924 | 2006-09-07 |
| 1952404717 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 734 E Washington St, New Castle, PA 16101-4144 | 2006-09-07 |
| 1548371602 | Hyde Drug, L.L.C. | Pharmacy | 2412 Wilmington Rd, New Castle, PA 16105-1939 | 2006-08-31 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 47362 |
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.