WAL-MART STORES EAST LP (NPI# 1346268760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346268760 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1026 |
| Practice Address |
3200 John Williams Blvd Bedford IN 47421-9153 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8122750415 |
| Enumeration Date | 2006-07-17 |
| 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 |
60005034 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100299390 | 05 | |
| IN | 100299390A | 05 | |
| PK | 2026429 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1026 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
3200 JOHN WILLIAMS BLVD |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-9153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537139 | Tracy Blyeth | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1093315988 | Brian Scott Darnell | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1255931432 | Michelle Lynn Goldsberry | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-28 |
| 1174123152 | Rebecca L Jones | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-6085 | 2020-10-28 |
| 1689203044 | Cathy Frances Deringer | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-6085 | 2020-04-07 |
| 1881932309 | John Walton Od PC | Optometrist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2013-01-17 |
| 1902938145 | Wal-mart Stores, Inc. | Technician/Technologist | 3200 John Williams Blvd, Bedford, IN 47421 | 2007-03-12 |
| 1700984697 | Melinda Jo Trager | Optometrist | 3200 John Williams Blvd, Bedford, IN 47421 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1922589282 | Alphadome Pharmacy Inc | Pharmacy | 1125 Bedford Rd Ste B, Bedford, TX 76022-6669 | 2018-08-24 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1285130344 | Allen Rx, LLC. | Pharmacy | 1908 Central Dr Ste C, Bedford, TX 76021-5822 | 2018-04-05 |
| 1558739557 | Impulse Pharmacy Incorporated | Pharmacy | 3901 Airport Fwy Ste 116, Bedford, TX 76021-6117 | 2015-09-08 |
| 1285760231 | Doctor's Plaza Pharmacy | Pharmacy | 1305 Airport Fwy Ste 110, Bedford, TX 76021-6603 | 2007-02-26 |
| 1952489957 | Minyard Food Stores Inc. | Pharmacy | 2204 Airport Fwy, Bedford, TX 76022-6061 | 2006-11-01 |
| 1649354234 | Cvs Manchester Nh, L.L.C. | Pharmacy | 66 S River Rd, Bedford, NH 03110-6709 | 2006-10-24 |
| 1356440713 | Cvs Pharmacy Inc | Pharmacy | 199 Great Rd, Bedford, MA 01730-2713 | 2006-09-22 |
| 1780783944 | Thrift Drug Inc | Pharmacy | 109 Railroad St, Bedford, PA 15522-1014 | 2006-09-22 |
| Find all providers in BEDFORD | ||||
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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.