WAL-MART STORES EAST LP (NPI# 1255358321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255358321 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3505 |
| Practice Address |
130 Commerce St Wisconsin Dells WI 53965-8263 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6082535662 |
| Practice Fax Number | 6082539682 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-15 |
| 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 |
8198-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2109979 | 01 | |
| WI | 33261500 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3505 | 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 |
130 COMMERCE ST |
| City | WISCONSIN DELLS |
| State | WI |
| Zip Code | 53965-8263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506163 | Robert Ryan Kaas | Pharmacist | 130 Commerce St, Wisconsin Dells, WI 53965-8263 | 2020-10-20 |
| 1649878018 | Thomas Robert Warwick | Pharmacist | 130 Commerce St, Wisconsin Dells, WI 53965-8263 | 2020-10-16 |
| 1437757341 | Heather Sue Begalske | Pharmacist | 130 Commerce St, Wisconsin Dells, WI 53965-8263 | 2020-10-13 |
| 1215012737 | Wal-mart Stores East, Lp | Technician/Technologist | 130 Commerce St, Wisconsin Dells, WI 53965-8263 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791811 | Doris Marie Delmore | Technician | 803 Clara Ave, Wi Dells, WI 53965 | 2019-10-17 |
| 1598200081 | Britney Ann Leege | Physical Therapy Assistant | N9474 County Road O, Wisconsin Dells, WI 53965 | 2016-12-20 |
| 1073619201 | Travelmart Inc. | Pharmacy | 802 Broadway, Wisconsin Dells, WI 53965 | 2006-09-15 |
| 1235588773 | Lori J Spencer | Nurse Practitioner | 1310 Broadway, Wisconsin Dells, WI 53965 | 2016-06-06 |
| 1619087871 | Lake Delton Chiropractic Clinic LLC | Chiropractor | 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965 | 2006-08-30 |
| 1821199506 | Daniel Edward Joseph | Chiropractor | 1000 St Hwy 13, Wisconsin Dells, WI 53965-0049 | 2006-09-26 |
| 1720280522 | Joseph Chiropractic Sc | Chiropractor | 1000 St Hwy 13, Wisconsin Dells, WI 53965-0049 | 2007-06-04 |
| 1104084342 | Casey Meyer Piotrowski | Occupational Therapist | 1010 Hillside Ct, Wisconsin Dells, WI 53965-1309 | 2008-05-23 |
| 1760434435 | Kenneth G Forsythe | Optometrist | 1302 Broadway, Wisconsin Dells, WI 53965-1358 | 2006-05-17 |
| 1447215868 | Elizabeth R Bostwick | Nurse Practitioner | 1310 Broadway, Wisconsin Dells, WI 53965-1358 | 2006-04-19 |
| Find all providers in zip 53965 | ||||
| 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 |
|---|---|---|---|---|
| 1073619201 | Travelmart Inc. | Pharmacy | 802 Broadway, Wisconsin Dells, WI 53965 | 2006-09-15 |
| 1265447338 | Walgreen Co | Pharmacy | 300 Highway 13, Wisconsin Dells, WI 53965-7902 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WISCONSIN DELLS |
| Zip Code | 53965 |
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.