WAL-MART STORES EAST LP (NPI# 1215954383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215954383 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1966 |
| Practice Address |
4235 Veteran Dr Geneseo NY 14454-9442 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5852434080 |
| Enumeration Date | 2006-07-16 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
23376 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064704 | 01 | |
| NY | 1376498 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1966 | 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 |
4235 VETERAN DR |
| City | GENESEO |
| State | NY |
| Zip Code | 14454-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847011 | Danielle Lynne James | Optometrist | 4235 Veteran Dr, Geneseo, NY 14454-9433 | 2006-02-01 |
| 1205365293 | Wendel Vision Care Pllc | Optometrist | 4235 Veteran Dr, Geneseo, NY 14454-9442 | 2017-06-05 |
| 1184898702 | Kerry Melinda Marlowe | Pharmacist | 4235 Veteran Dr, Geneseo, NY 14454-9433 | 2008-04-15 |
| 1689843542 | Antonino Antinoro | Pharmacist | 4235 Veteran Dr, Geneseo, NY 14454-9442 | 2008-02-25 |
| 1417133968 | Denise Cendoma | Pharmacist | 4235 Veteran Dr, Geneseo, NY 14454-9433 | 2008-01-15 |
| 1437364940 | Hearing Health | Hearing Aid Equipment | 4235 Veteran Dr, Geneseo, NY 14454-9442 | 2007-05-10 |
| 1316051279 | Wal-mart Stores East, Lp | Technician/Technologist | 4235 Veteran Dr, Geneseo, NY 14454-9433 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
| 1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
| 1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
| 1770705188 | Vista Behavioral Health Medicine Pllc | Psychiatry & Neurology | 4245 Lakeville Rd, Suite 4a, Geneseo, NY 14454 | 2007-05-03 |
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
| 1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
| 1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
| 1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
| Find all providers in zip 14454 | ||||
| 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 |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 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.