WAL-MART STORES EAST LP (NPI# 1285975441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285975441 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 103104 |
| Practice Address |
1101 S Military Trl Deerfield Beach FL 33442-7645 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9545718007 |
| Mailing Telephone | 4792046375 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2013-03-12 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH 26803 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2139393 | 01 | |
| FL | 008731800 | 05 |
| Other Name | Type Code |
|---|---|
| Wal-Mart Pharmacy 103104 | 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 |
1101 S MILITARY TRL |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33442-7645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619070844 | Gilda-jo Youngblood | Pharmacist | 1101 S Military Trl, Deerfield Beach, FL 33442-7645 | 2006-09-06 |
| 1447886874 | David J Mastropietro | Pharmacist | 1101 S Military Trl, Deerfield Beach, FL 33442-7645 | 2020-03-17 |
| 1043634215 | Ami Nguyen | Pharmacist | 1101 S Military Trl, Deerfield Beach, FL 33442-7645 | 2014-02-09 |
| 1508194705 | Kimberly H Seymour | Pharmacy Technician | 1101 S Military Trl, Deerfield Beach, FL 33442-7645 | 2009-11-27 |
| 1568678712 | Kimberly Ann Coronado | Pharmacy Technician | 1101 S Military Trl, Deerfield Beach, FL 33442-7645 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| 1194203810 | Advance Urgent Care | Clinic/Center | 1827 W Hillsboro Blvd, Suite A, Deerfield Beach, FL 33442 | 2018-08-03 |
| 1972096410 | Michael Roy Turner | Nurse Anesthetist, Certified Registered | 2162 Woodlands Way, Deerfield Beach, FL 33442 | 2018-06-09 |
| 1306397187 | Michael Ovad | Behavioral Analyst | 1239 E Newport Center Dr #101, Deerfield Beach, FL 33442 | 2016-10-17 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1144683525 | Jennifer Garcia | Physical Therapy Assistant | 2259-a W. Hillsboro Road, Deerfield Beach, FL 33442 | 2016-04-01 |
| 1972982635 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 3321 W. Hillsboro Blvd, Deerfield Beach, FL 33442 | 2015-05-27 |
| 1205213741 | Deerfield Family Dentistry | Dentist | 1369 S Military Trail, Deerfield Beach, FL 33442 | 2015-05-05 |
| 1952792707 | Bocacare Inc | Clinic/Center | 3313 W Hillsboro Blvd Ste 100, Deerfield Bch, FL 33442 | 2015-02-16 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| Find all providers in zip 33442 | ||||
| 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 |
|---|---|---|---|---|
| 1790303394 | White Tip Pharmacy LLC | Pharmacy | 411 S Federal Hwy Ste D, Deerfield Beach, FL 33441-4170 | 2020-07-09 |
| 1891231965 | All Med Pharmcy | Pharmacy | 1052 S Powerline Rd Ste C, Deerfield Beach, FL 33442-8119 | 2017-01-13 |
| 1477914109 | Pops Neighborhood Pharmacy, LLC | Pharmacy | 20 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2016-03-08 |
| 1265839492 | Kare Pharmacy Deerfield Beach | Pharmacy | 2200 Sw 10th St, Deerfield Beach, FL 33442-7622 | 2014-12-03 |
| 1487088845 | Pharma Holdings Us of Fl LLC | Pharmacy | 718 S Military Trl, Deerfield Beach, FL 33442-3025 | 2013-08-21 |
| 1366672271 | Generic Rx LLC | Pharmacy | 3448 W Hillsboro Blvd, Deerfield Beach, FL 33442-9419 | 2009-07-27 |
| 1629165816 | Kare Pharmacy Inc | Pharmacy | 600 W Hillsboro Blvd, Suite 300, Deerfield Beach, FL 33441-1609 | 2006-10-07 |
| 1295839140 | Holiday Cvs LLC | Pharmacy | 2 S Federal Hwy, Deerfield Beach, FL 33441-4127 | 2006-09-12 |
| 1790790806 | Walgreen Co | Pharmacy | 1041 E Hillsboro Blvd, Deerfield Beach, FL 33441-3613 | 2006-07-29 |
| 1194747741 | Holiday Cvs LLC | Pharmacy | 1200 S Federal Hwy, Deerfield Beach, FL 33441-7037 | 2006-07-24 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33442 |
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.