WAL-MART PUERTO RICO INC (NPI# 1235156480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235156480 |
| Entity Type | Organization |
| Organization Name | WAL-MART PUERTO RICO INC |
| Other Organization Name | WALMART PHARMACY 10-2449 |
| Practice Address |
301 Ave Rafael Cordero Caguas PR 00725-5000 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0445 |
| Practice Telephone | 7872868460 |
| Practice Fax Number | 7872868731 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-04-02 |
| 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 |
20-F-2352 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2087431 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2449 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014514 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Carr 2 Ave R H Todd Esq, Calle Corchado Santurce, San Juan, PR 00907 | 2013-02-13 |
| 1255681144 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Carr 2 Sector La Virgencita Inter, Carr 165 Media Luna Ward, Toa Baja, PR 00949 | 2012-09-18 |
| 1497022438 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Bechara Industrial Park 1045, Marginal John F Kennedy, San Juan, PR 00907-4908 | 2011-11-18 |
| 1164724704 | Wal-mart Puerto Rico Inc | Technician/Technologist | Plaza Centro II, Caguas, PR 00726 | 2010-12-02 |
| 1619279791 | Wal-mart Puerto Rico Inc | Technician/Technologist | 1145 Carr# 2, Barceloneta, PR 00617 | 2010-11-23 |
| 1700188877 | Wal-mart Puerto Rico Inc | Technician/Technologist | 150 Carr 940, Ste 180, Fajardo, PR 00738 | 2010-11-23 |
| 1336441427 | Wal-mart Puerto Rico Inc | Technician/Technologist | # 333 Carr#14, Cot Laurel, PR 00780 | 2010-11-23 |
| 1609178797 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr Estatal 3, Ponca, PR 00732 | 2010-11-23 |
| 1114229283 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr# 3 Km 6.8, Parque Escorial, Carolina, PR 00987 | 2010-11-23 |
| 1134421209 | Wal-mart Puerto Rico Inc | Technician/Technologist | Carr. 2 Km56.6, Barceloneta, PR 00617 | 2010-11-23 |
| Street Address |
301 AVE RAFAEL CORDERO |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053787952 | Amarilys Berrios | Pharmacist | 301 Ave Rafael Cordero, Caguas, PR 00725-5000 | 2015-08-13 |
| 1396111308 | Pedro J Lara | Pharmacist | 301 Ave Rafael Cordero, Caguas, PR 00725-5000 | 2015-08-12 |
| 1720380892 | Wal-mart Puerto Rico Inc | Technician/Technologist | 301 Ave Rafael Cordero, Caguas, PR 00725-5000 | 2010-11-23 |
| 1669509188 | Walmart #2449 | Eyewear Supplier (Equipment, not the service) | 301 Ave Rafael Cordero, Caguas, PR 00725-0000 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| 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 |
|---|---|---|---|---|
| 1851882898 | Latitud 18 Norte LLC | Pharmacy | Carr 796 Km 0.3 Bo Rio Canas, Sector La Guasabara, Caguas, PR 00725 | 2018-05-25 |
| 1881072452 | Farmacia Tu Familia Corp | Pharmacy | C11 Ave Jose Villares, Caguas, PR 00725-2665 | 2015-05-14 |
| 1366792376 | Jireh Drugs, Inc. | Pharmacy | Carr 172 Km 5.6, Barrio Canaboncito, Caguas, PUERTO RICO 00725 | 2012-09-17 |
| 1891076592 | Farmacia Profesional, Inc | Pharmacy | #50 Avenida Munoz Marin Ste 104, Quadrangle Medical Center, Caguas, PR 00725 | 2011-09-08 |
| 1053648618 | Farmacia Medical Plaza | Pharmacy | Carretera #1 Barrio Turabo Consolidated Mall, Local C 31c, Caguas, PR 00725 | 2009-11-03 |
| 1336373273 | Farmacia Condado Moderno | Pharmacy | Urb Condado Moderno, C 18 M21, Caguas, PR 00725 | 2009-05-06 |
| 1417100389 | Corporacion De Salud Asegurada Por Nuestra Organizacion Solidaria, Inc | Pharmacy | Rafael Cordero Avenue, Troche St., Caguas, PR 00725 | 2008-10-23 |
| 1861691347 | Turabo Gardens | Pharmacy | Ave Shufford, 4 Centro Comercial Turabo Gardens, Caguas, PR 00725 | 2007-07-13 |
| 1356561435 | Centro Medico Del Turabo | Pharmacy | Luis Munoz Rivera Ave #100, Caguas, PR 00725 | 2007-04-30 |
| 1164648127 | Farmacia Del Condado | Pharmacy | Urb Quinonez Jimenez Ave Jose Villares, Solar #1, Caguas, PR 00725 | 2007-04-18 |
| Find all providers in CAGUAS | ||||
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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.