WAL-MART STORES EAST LP (NPI# 1376560474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376560474 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1773 |
| Practice Address |
12401 Jefferson Ave Newport News VA 23602-4311 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7578744722 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-15 |
| 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 |
0201003071 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6030621 | 05 | |
| VA | 8572097 | 05 | |
| PK | 2105890 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1773 | 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 |
12401 JEFFERSON AVE |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962449348 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 12401 Jefferson Ave, Newport News, VA 23602-4311 | 2006-06-02 |
| 1881295574 | Lea Holbrook | Pharmacist | 12401 Jefferson Ave, Newport News, VA 23602-4311 | 2020-11-08 |
| 1194325035 | Nathalie Monique Gilbert | Pharmacist | 12401 Jefferson Ave, Newport News, VA 23602-4311 | 2020-10-29 |
| 1740880145 | Brent Robert Kerrick | Pharmacist | 12401 Jefferson Ave, Newport News, VA 23602-4311 | 2020-10-27 |
| 1699064030 | Simon Tran Od & Associates | Optometrist | 12401 Jefferson Ave, Suite 1, Newport News, VA 23602-4311 | 2011-04-06 |
| 1932395761 | Simon T Tran | Optometrist | 12401 Jefferson Ave, Suite 1, Newport News, VA 23602-4311 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| 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 |
|---|---|---|---|---|
| 1386988715 | Wal-mart Stores East Lp | Pharmacy | 11214 Jefferson Ave, Newport News, VA 23601-2207 | 2012-11-26 |
| 1558474221 | Harris Teeter, LLC | Pharmacy | 12404 Warwick Blvd, Newport News, VA 23606-3007 | 2006-08-16 |
| 1487661419 | Walgreen Co | Pharmacy | 12750 Jefferson Ave, Newport News, VA 23602-4318 | 2006-08-02 |
| 1497760029 | Denbigh Drugs, LLC | Pharmacy | 13349 Warwick Blvd, Newport News, VA 23602 | 2006-07-30 |
| 1386659332 | Walgreen Co | Pharmacy | 9976 Jefferson Ave, Newport News, VA 23605-1057 | 2006-07-29 |
| 1104848886 | Virginia Cvs Pharmacy LLC | Pharmacy | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2006-07-24 |
| 1750917126 | Virginia Oncology Associates | Pharmacy | 1051 Loftis Blvd Ste 100, Newport News, VA 23606-3069 | 2020-03-18 |
| 1578999009 | Riverside Hospital, Inc | Pharmacy | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2013-09-16 |
| 1144564782 | Wal-mart Stores East Lp | Pharmacy | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2012-11-20 |
| 1336259969 | Costco Wholesale Corporation | Pharmacy | 12121 Jefferson Ave, Newport News, VA 23602 | 2006-08-30 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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.