WAL-MART STORES EAST LP (NPI# 1215321716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215321716 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WALMART PHARMACY 10-6323 |
Practice Address |
11333 Highway 49 Gulfport MS 39503-3130 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 2282846113 |
Practice Fax Number | 2282846112 |
Enumeration Date | 2015-03-23 |
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 | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
14244/1.2 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 1215321716 | 05 | |
PK | 2151036 | 01 |
Other Name | Type Code |
---|---|
Walmart Pharmacy 10-6323 | 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 |
11333 HIGHWAY 49 |
City | GULFPORT |
State | MS |
Zip Code | 39503-3130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518346592 | David Roy | Pharmacist | 11333 Highway 49, Gulfport, MS 39503-3130 | 2015-05-24 |
1851778989 | Wyatt Marshal Connelley | Pharmacist | 11333 Highway 49, Gulfport, MS 39503-3130 | 2015-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
Find all providers in zip 39503 |
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 |
---|---|---|---|---|
1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
1124506498 | Kanif Group LLC | Pharmacy | 2709 25th Avenue, Units C&d, Gulfport, MS 39501-4834 | 2018-07-30 |
1124576079 | G Med II LLC | Pharmacy | 4723 Tennessee Ave, Gulfport, MS 39501-8130 | 2016-09-20 |
1134583305 | Coastal Family Health Center Inc | Pharmacy | 9113 Highway 49 Ste 200, Gulfport, MS 39503-4330 | 2016-04-13 |
1730598293 | Skp LLC | Pharmacy | 5004 Gulfport Blvd S, Gulfport, FL 33707-4942 | 2014-08-09 |
1134568942 | Good Medicine, LLC | Pharmacy | 20006 Highway 53 Ste B, Gulfport, MS 39503-7843 | 2013-06-14 |
1952400269 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 2424 25th Ave, Gulfport, MS 39501-4524 | 2006-09-22 |
1861591174 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 1422 E Pass Rd, Gulfport, MS 39507-3521 | 2006-09-22 |
1134228448 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 11022 Highway 49, Gulfport, MS 39503-4110 | 2006-09-22 |
1821190463 | Mkb Pharmacy, Inc | Pharmacy | 12372 Highway 49, Gulfport, MS 39503-2741 | 2006-09-03 |
Find all providers in GULFPORT |
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.