WAL-MART STORES EAST LP


Address: 11333 Highway 49, Gulfport, MS 39503-3130
Phone: 2282846113

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 1215321716 05
PK 2151036 01

Other Provider/Organization Names

Other Name Type Code
Walmart Pharmacy 10-6323 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Wal-Mart Stores East LP 702 Sw 8th St, Bentonville, Arkansas 72716-0555

Office Location

Street Address 11333 HIGHWAY 49
City GULFPORT
State MS
Zip Code 39503-3130

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

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.

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