WAL-MART STORES EAST LP (NPI# 1326065608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326065608 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2022 |
| Practice Address |
474 Boston Post Rd North Windham CT 06256-1052 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8604562126 |
| Practice Fax Number | 8604562171 |
| 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 |
PCY.0001498 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004131223 | 05 | |
| PK | 2000340 | 01 | |
| CT | 940004131223 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2022 | 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 |
474 BOSTON POST RD |
| City | NORTH WINDHAM |
| State | CT |
| Zip Code | 06256-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649786435 | Kristen Lara Magnuson | Pharmacist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2017-12-17 |
| 1649628793 | Charlene Sirois | Technician/Technologist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2016-05-31 |
| 1821468661 | Suzanne E Ludwig | Pharmacist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2015-10-06 |
| 1609965938 | Wal-mart Stores East, Lp | Technician/Technologist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2006-10-12 |
| 1194821686 | Alfred Michael Blanchard | Optometrist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336249366 | Laura A Vodopivec | Optometrist | 494 Boston Post Rd, N Windham, CT 06256 | 2006-09-22 |
| 1295776656 | Total Renal Care Inc | Clinic/Center | 375 Tuckie Rd, Ste C, North Windham, CT 06256 | 2006-06-09 |
| 1427139823 | North Windham Eye Care, P.C. | Optometrist | 4 Industrial Park Drive, North Windham, CT 06256-1000 | 2006-10-18 |
| 1235216284 | David J. Hunyady, P.C. | Optometrist | 4 Industrial Park Drive, North Windham, CT 06256-1000 | 2006-11-01 |
| 1316414360 | Natalynn Danielle Vasquez | Student in an Organized Health Care Education/Training Program | 35b Boulevard Rd, North Windham, CT 06256-1215 | 2018-10-29 |
| 1255768628 | Mary Boss Withey | Nurse Practitioner | 141 Tuckie Rd, North Windham, CT 06256-1317 | 2013-10-01 |
| 1265860373 | Windham Community Memorial Hospital | General Acute Care Hospital | 141 Tuckie Rd, North Windham, CT 06256-1317 | 2013-10-29 |
| 1649262056 | Robert F Dubois | Chiropractor | 375 B Tuckie Rd, North Windham, CT 06256-1345 | 2005-08-22 |
| 1588703888 | Associated Dental Care of North Windham, LLC | Dentist | 387 Tuckie Rd Ste B, North Windham, CT 06256-1355 | 2007-02-05 |
| 1710065917 | Obinna I Maduka | Pediatrics | 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 | 2006-11-02 |
| Find all providers in zip 06256 | ||||
| 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] |
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| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WINDHAM |
| Zip Code | 06256 |
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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.