WAL-MART STORES EAST LP (NPI# 1336166495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336166495 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2135 |
| Practice Address |
139 Merchant Pl Cobleskill NY 12043-5715 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5182341186 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 |
23347 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1584041 | 05 | |
| PK | 2058271 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2135 | 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 |
139 MERCHANT PL |
| City | COBLESKILL |
| State | NY |
| Zip Code | 12043-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487178661 | Desmond Eric Martz | Pharmacist | 139 Merchant Pl, Cobleskill, NY 12043-5715 | 2017-07-31 |
| 1134408859 | Jeffrey Francis Suppon | Pharmacist | 139 Merchant Pl, Cobleskill, NY 12043-5715 | 2011-08-11 |
| 1982911384 | Melisa Lynn Hedges | Pharmacist | 139 Merchant Pl, Cobleskill, NY 12043-5715 | 2010-09-07 |
| 1548444300 | Robert J Tobin | Pharmacist | 139 Merchant Pl, Cobleskill, NY 12043 | 2007-12-28 |
| 1740381623 | Tanya Devlin | Optometrist | 139 Merchant Pl, Cobleskill, NY 12043-5715 | 2006-09-26 |
| 1205949500 | Wal-mart Stores East, Lp | Technician/Technologist | 139 Merchant Pl, Cobleskill, NY 12043-5715 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265816656 | Schoharie County Community Action Program, Inc | Case Management | 795 East Main Street, Suite 5, Cobleskill, NY 12043 | 2015-07-15 |
| 1215212196 | Kathryn Scott | Physical Therapist | 143 Golding Dr, Ryder Elementary, Cobleskill, NY 12043 | 2011-10-11 |
| 1255633897 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 726 East Main Street, Cobleskill, NY 12043 | 2010-12-02 |
| 1134452675 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 132 Macarthur Dr., Cobleskill, NY 12043 | 2009-09-16 |
| 1164755161 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 45 Five Mile Woods Rd, Catskill, NY 12043 | 2009-09-09 |
| 1407004542 | David M Goodrich I | Pharmacist | 105 Plazza Lane, Price Chopper Pharmacy, Cobleskill, NY 12043 | 2008-09-03 |
| 1891985768 | Thomas W Greenlees | Preventive Medicine | 170 Mineral Springs Road, Box 910, Cobleskill, NY 12043 | 2007-07-27 |
| 1518022375 | Cobleskill-richmondville Central School | Local Education Agency (LEA) | 155 Washington Ave., Cobleskill, NY 12043 | 2006-12-22 |
| 1831259514 | Mary Diane Radliff | Nurse Practitioner | 130 Albany Ave, Cobleskill, NY 12043 | 2006-12-11 |
| 1689748378 | Jay Vickers Dewell Sr. | Family Medicine | 133 Legion Drive, Cobleskill, NY 12043 | 2006-11-17 |
| Find all providers in zip 12043 | ||||
| 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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| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | COBLESKILL |
| Zip Code | 12043 |
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.