WAL-MART STORES EAST LP (NPI# 1366801839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366801839 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-3163 |
| Practice Address |
301 S State Road 7 Hollywood FL 33023-6756 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 7542606711 |
| Practice Fax Number | 7542606710 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2017-05-01 |
| 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 |
PH29983 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017210501 DME | 05 | |
| PK | 2158162 | 01 | |
| FL | 017210500 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-3163 | 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 |
301 S STATE ROAD 7 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33023-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982005 | Irina Gonzalez | Pharmacist | 301 S State Road 7, Hollywood, FL 33023-6756 | 2020-11-03 |
| 1932709748 | Joanna Rodriguez | Pharmacist | 301 S State Road 7, Hollywood, FL 33023-6756 | 2020-10-30 |
| 1902371800 | Jade Indira Jackson | Pharmacist | 301 S State Road 7, Hollywood, FL 33023-6756 | 2018-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
| 1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
| 1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
| 1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
| 1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
| Find all providers in zip 33023 | ||||
| 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 |
|---|---|---|---|---|
| 1528689015 | Water Lilly Pharmacy LLC | Pharmacy | 3700 Washington St Ste 206, Hollywood, FL 33021-8249 | 2020-05-06 |
| 1700252939 | Bolluk Pharmacy Corp | Pharmacy | 7120 Stirling Rd, Hollywood, FL 33024-1650 | 2015-08-11 |
| 1578994257 | Sky Pharmacy and Discount Corp | Pharmacy | 2414 Sheridan St, Hollywood, FL 33020-2064 | 2013-12-06 |
| 1134437403 | Emerald Hills Pharmacy LLC | Pharmacy | 3000 Stirling Rd, Ste 120, Hollywood, FL 33021-2069 | 2010-09-20 |
| 1871743310 | Infupharma | Pharmacy | 2013 Harding St, Hollywood, FL 33020-2714 | 2008-09-21 |
| 1003083569 | White Orchid Pharmacy Inc | Pharmacy | 2328b Hollywood Blvd, Hollywood, FL 33020-1201 | 2008-05-14 |
| 1396837407 | Broward Pharmacy & Discount Store Inc | Pharmacy | 2323 N 60 Avenue, Hollywood, FL 33021 | 2006-09-28 |
| 1770687758 | Holiday Cvs LLC | Pharmacy | 6665 Taft St, Hollywood, FL 33024-4010 | 2006-09-12 |
| 1285738146 | Holiday Cvs LLC | Pharmacy | 4599 Sheridan St, Hollywood, FL 33021-3515 | 2006-09-12 |
| 1336243203 | Holiday Cvs LLC | Pharmacy | 901 N Federal Hwy, Hollywood, FL 33020-3537 | 2006-09-12 |
| Find all providers in HOLLYWOOD | ||||
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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.