WAL-MART STORES EAST LP (NPI# 1255358404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255358404 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1244 |
| Practice Address |
3027 Wade Hampton Blvd Taylors SC 29687-2789 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8642922014 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-16 |
| 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 |
2402 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2090034 | 01 | |
| SC | 724022 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1244 | 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 |
3027 WADE HAMPTON BLVD |
| City | TAYLORS |
| State | SC |
| Zip Code | 29687-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275572653 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3027 Wade Hampton Blvd, Taylors, SC 29687-2715 | 2006-06-04 |
| 1902204233 | Anyanime A Edem | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2014-12-18 |
| 1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
| 1871911404 | Christen Redd | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2014-04-01 |
| 1639597479 | Sarah Ballentine Madden | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2014-03-30 |
| 1851649594 | Rachel Floyd | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2012-08-28 |
| 1073809638 | Molly M Evans | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2011-06-22 |
| 1982924783 | Rebekah Shaw Thompson | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687-2789 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
| 1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
| 1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
| 1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
| 1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
| 1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
| 1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
| 1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
| 1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
| 1700036175 | Janet S Gates | Social Worker | 20 Powderhorn Rd, Simpsonville, SC 29687 | 2008-09-23 |
| Find all providers in zip 29687 | ||||
| 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 |
|---|---|---|---|---|
| 1881616530 | South Carolina Cvs Pharmacy LLC | Pharmacy | 6025 Wade Hampton Blvd, Taylors, SC 29687-5334 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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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.