WAL-MART STORES EAST LP (NPI# 1295752459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295752459 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1382 |
| Practice Address |
508 Bypass 72 Nw Greenwood SC 29649-1300 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8642296722 |
| 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 |
2477 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 724771 | 05 | |
| PK | 2090151 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1382 | 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 |
508 BYPASS 72 NW |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962471821 | Jeffrey C Magun | Optometrist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2006-03-14 |
| 1962957902 | Integrated Vision Associates LLC | Optometrist | 508 Bypass 72 Nw, Inside Wal-mart, Greenwood, SC 29649-1300 | 2016-08-19 |
| 1972979383 | Deborah Spicer | Pharmacist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2015-08-19 |
| 1265852610 | Jacob Taylor Price | Pharmacist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2014-04-24 |
| 1841610581 | Vanessa Owens | Pharmacist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2014-04-21 |
| 1225458946 | Amy Senn Meyers | Pharmacist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2014-04-21 |
| 1346585197 | Greenwood Family Eye Care Inc. | Optometrist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2012-12-05 |
| 1366791469 | Ashley S Batson | Pharmacist | 508 Bypass 72 Nw, Greenwood, SC 29649 | 2012-09-05 |
| 1255493680 | Eric Riley Bang | Optometrist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2006-12-14 |
| 1306928767 | Wal-mart Stores East, Lp | Technician/Technologist | 508 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| 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 |
|---|---|---|---|---|
| 1588049621 | Genoa Healthcare, LLC | Pharmacy | 65 Airport Pkwy Ste 109, Greenwood, IN 46143-1439 | 2015-07-29 |
| 1912131871 | Carolina Health Centers, Inc. | Pharmacy | 577 Bypass Hwy 72 Nw, Greenwood, SC 29649 | 2009-05-07 |
| 1750588091 | Walgreen Co. | Pharmacy | 700 W. Park Ave., Greenwood, MS 38930-2910 | 2007-06-29 |
| 1518014356 | Barrett Hodges Drugs, Inc. | Pharmacy | 105 Carrollton Ave, Greenwood, MS 38930-4436 | 2007-01-04 |
| 1326147638 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 212 W Park Ave, Greenwood, MS 38930-3009 | 2006-09-22 |
| 1659475614 | Beam & Flynn Inc | Pharmacy | 202 Seaboard Ave, Greenwood, SC 29646-2201 | 2006-09-12 |
| 1407959174 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1337 S Main St, Greenwood, SC 29646-3930 | 2006-09-07 |
| 1457465411 | Quality Drugs Inc | Pharmacy | 513 Highway 82 W, Greenwood, MS 38930-5030 | 2006-08-18 |
| 1336156371 | Walgreen Co | Pharmacy | 720 S State Road 135, Greenwood, IN 46143-9410 | 2006-08-02 |
| 1407356678 | Health-wise Pharmacy Pllc | Pharmacy | 202 S Coker St, Greenwood, AR 72936-4730 | 2018-02-14 |
| Find all providers in GREENWOOD | ||||
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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.