WAL-MART STORES EAST LP (NPI# 1275550378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275550378 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1904 |
| Practice Address |
19360 Compass Creek Parkway Leesburg VA 20175 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7037790164 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-05-23 |
| 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 |
0201003147 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008510270 | 05 | |
| PK | 2106113 | 01 | |
| VA | 8510270 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1904 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
19360 COMPASS CREEK PARKWAY |
| City | LEESBURG |
| State | VA |
| Zip Code | 20175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1184137242 | K2m, Inc. | Orthopaedic Surgery | K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 | 2017-11-13 |
| 1821511122 | Barsha Baral | Taxi | 651 Tammy Ter Se, Leesburg, VA 20175 | 2017-07-19 |
| 1508316282 | Stefanie Moreno | Social Worker | 914 Rhonda Pl Se, Leesburg, VA 20175 | 2016-10-06 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1932597317 | Christine Sauthoff Carter | Speech-Language Pathologist | 212 Wingate Pl Sw, Leesburg, VA 20175 | 2015-01-07 |
| 1174946651 | Sucess By Therapeutic and Educational Play Services | Speech-Language Pathologist | 107 Pheasant Pl Sw, Leesburg, VA 20175 | 2014-02-04 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| 1386077337 | Kathleen Mary Harter | Physical Therapy Assistant | 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 | 2013-08-14 |
| Find all providers in zip 20175 | ||||
| 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 |
|---|---|---|---|---|
| 1376965566 | Silver Lake Pharmacy, LLC. | Pharmacy | 32729 Radio Rd, Leesburg, FL 34788-3900 | 2014-01-08 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1417032947 | Harris Teeter, LLC | Pharmacy | 19350 Winmeade Dr, Leesburg, VA 20176 | 2006-10-25 |
| 1487758462 | Holiday Cvs LLC | Pharmacy | 1235 N 14th St, Leesburg, FL 34748-3822 | 2006-09-12 |
| 1609986249 | Costco Wholesale Corporation | Pharmacy | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176 | 2006-08-30 |
| 1780602862 | Leesburg Pharmacy Inc | Pharmacy | 36 Catoctin Cir Se, Suite C, Leesburg, VA 20175-3630 | 2006-07-17 |
| 1013555143 | Gdt LLC | Pharmacy | 19500 Sandridge Way Ste 140, Leesburg, VA 20176-3689 | 2019-12-19 |
| 1962719211 | Damol Inc | Pharmacy | 620 S Lake St, Suite4, Leesburg, FL 34748-6059 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| 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.