WAL-MART STORES EAST LP (NPI# 1285651539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285651539 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-3403 |
| Practice Address |
3615 Charles Hardy Pkwy Dallas GA 30157-9472 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7704459096 |
| 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 |
PHRE009000 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00940541Q | 05 | |
| PK | 2016149 | 01 | |
| GA | 000940541Q | 05 | |
| GA | PHRE009000 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-3403 | 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 |
3615 CHARLES HARDY PKWY |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-9472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123749 | Lauren Leanne Nguyen | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-31 |
| 1740880731 | Shamira Sarangi | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-28 |
| 1316547557 | Jaci Michelle Dillard | Pharmacist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-10-27 |
| 1386259562 | Angela Nicole Zeigler | Social Worker | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2020-09-14 |
| 1316590243 | Gregory Harold Lindsey | Counselor | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2019-07-19 |
| 1255984423 | Mc Do Optometry LLC | Optometrist | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2019-07-17 |
| 1790347557 | Wendy Sue Amundson | Counselor | 3615 Charles Hardy Pkwy, Dallas, GA 30157-9472 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1407475684 | Pcn Care Pllc | Pharmacy | 3201 W Saner Ave Ste 100, Dallas, TX 75233-1430 | 2020-04-08 |
| 1841824133 | Rite Quality Health Inc | Pharmacy | 18900 Dallas Pkwy Ste 106, Dallas, TX 75287-6916 | 2020-02-26 |
| 1740810852 | Chc Care Specialty Pharmacy and Consultants LLC | Pharmacy | 14211 Coit Rd Ste 1, Dallas, TX 75254-2862 | 2020-01-17 |
| 1770127821 | Methodist Community Pharmacy, LLC | Pharmacy | 3500 W Wheatland Rd Ste B, Dallas, TX 75237-3460 | 2019-11-01 |
| 1144874967 | Capsule Dallas LLC | Pharmacy | 2909 Mckinney Ave Ste A, Dallas, TX 75204-7479 | 2019-07-30 |
| 1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
| 1073087375 | Medical City Pharmacy LLC | Pharmacy | 3502 Simpson Stuart Rd Ste 300, Dallas, TX 75241-4420 | 2019-01-20 |
| 1538633326 | Methodist Community Pharmacy, LLC | Pharmacy | 1441 N Beckley Ave Lbby B, Dallas, TX 75203-1201 | 2019-01-15 |
| 1700358389 | Titan Specialty Pharmacy | Pharmacy | 8360 Lbj Fwy Ste 215, Dallas, TX 75243-1222 | 2018-12-20 |
| 1932676301 | Nugenerex Ptx1 | Pharmacy | 2301 S Hampton Rd Ste 850, Dallas, TX 75224-1618 | 2018-10-24 |
| Find all providers in DALLAS | ||||
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.