WAL-MART STORES EAST LP (NPI# 1336166685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336166685 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1128 |
| Practice Address |
7162 Highway 1 Mansura LA 71350-4351 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3182534073 |
| 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 |
4806RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2032364 | 01 | |
| LA | 1270148 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1128 | 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 |
7162 HIGHWAY 1 |
| City | MANSURA |
| State | LA |
| Zip Code | 71350-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922503903 | Sheakena Augustine | Pharmacist | 7162 Highway 1, Mansura, LA 71350-4351 | 2018-03-29 |
| 1922526482 | Tiffany Gaspard | Pharmacist | 7162 Highway 1, Mansura, LA 71350-4351 | 2017-09-05 |
| 1104225028 | Tiffany Tassin | Pharmacist | 7162 Highway 1, Mansura, LA 71350-4351 | 2014-08-15 |
| 1366841405 | Constance Rabalais | Pharmacist | 7162 Highway 1, Mansura, LA 71350-4351 | 2014-08-14 |
| 1649679796 | Pam Tassin | Pharmacist | 7162 Highway 1, Mansura, LA 71350-4351 | 2014-08-14 |
| 1235217472 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 7162 Highway 1, Mansura, LA 71350-4351 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693788 | Rene Christopher Desselle | Dentist | 1837 Leglise St, Mansura, LA 71350 | 2006-03-22 |
| 1982177820 | Plantation Management Company, LLC | Skilled Nursing Facility | 7119 Highway 1, Mansura, LA 71350 | 2019-01-03 |
| 1811065220 | Louisiana Health Care Practitioners,llc | Clinic/Center | 6615 St Phillip St, Mansura, LA 71350-0367 | 2006-12-01 |
| 1700391844 | Robbi Glass | Occupational Therapist | 7406 Highway 1 Ste 102, Mansura, LA 71350-4204 | 2017-12-12 |
| 1659809648 | Anitra Degrusha Dunbar | Registered Nurse | 7406 Highway 1 Ste 101, Mansura, LA 71350-4204 | 2017-06-02 |
| 1336242767 | Lemoine Therapy Services of Cenla Inc | Occupational Therapist | 7406 Highway 1, Suite 102, Mansura, LA 71350-4204 | 2006-09-07 |
| 1780642074 | Commcare Corporation | Skilled Nursing Facility | 7408 Highway 1, Mansura, LA 71350-4204 | 2006-05-03 |
| 1194337261 | John Michael David | Physical Therapist | 7406 Highway 1 Ste 102, Mansura, LA 71350-4204 | 2020-08-20 |
| 1578186441 | Michael D Wilson | Physical Therapist | 7406 Highway 1 Ste 102, Mansura, LA 71350-4204 | 2020-05-26 |
| 1801419072 | John Thomas Dunbar Iv | Physical Therapist | 7406 Highway 1 Ste 102, Mansura, LA 71350-4204 | 2020-05-22 |
| Find all providers in zip 71350 | ||||
| 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 |
|---|---|---|---|---|
| 1386753218 | Mansura Drugstore | Pharmacy | 2043 Leglise St, Mansura, LA 71350-4501 | 2006-08-30 |
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|---|---|---|---|---|
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| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
| 1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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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.