WAL-MART STORES EAST LP (NPI# 1386661684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386661684 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1157 |
| Practice Address |
2410 N State Highway 3 North Vernon IN 47265-6589 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8123466323 |
| Enumeration Date | 2006-07-16 |
| 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 |
60005038 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100195130 | 05 | |
| IN | 100195130A | 05 | |
| PK | 2026672 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1157 | 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 |
2410 N STATE HIGHWAY 3 |
| City | NORTH VERNON |
| State | IN |
| Zip Code | 47265-6589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446117 | Marc Miller | Pharmacist | 2410 N State Highway 3, North Vernon, IN 47265-6589 | 2020-10-30 |
| 1306446695 | Shannon Marie Zohrlaut | Pharmacist | 2410 N State Highway 3, North Vernon, IN 47265-6589 | 2020-10-27 |
| 1396114633 | Wal-mart Stores East, Lp | Technician/Technologist | 2410 N State Highway 3, North Vernon, IN 47265-6589 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
| 1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
| 1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
| 1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
| 1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
| 1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
| 1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
| 1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
| 1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
| 1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
| Find all providers in zip 47265 | ||||
| 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 |
|---|---|---|---|---|
| 1669568283 | Jennings Pharmacy, Inc. | Pharmacy | 707 North State Street, North Vernon, IN 47265 | 2006-10-04 |
| 1508859414 | A & Grx Inc | Pharmacy | 939 Veterans Dr, Suite B, North Vernon, IN 47265-2602 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1669095261 | Abi Westend Pharmacy | Pharmacy | 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 | 2020-05-19 |
| 1982224911 | Apotheco Pharmacy Carmel LLC | Pharmacy | 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 | 2020-04-20 |
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1831749399 | Julie Cindric | Pharmacy | 720 Adams St Ste 100, Carmel, IN 46032-7541 | 2019-09-17 |
| 1346898889 | Milan Pharmacy Inc | Pharmacy | 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 | 2019-08-28 |
| 1093361867 | Cameron Medical Outreach, Inc | Pharmacy | 306 E Maumee St Ste 106, Angola, IN 46703-2038 | 2019-08-16 |
| 1962055186 | Custom Dosing East | Pharmacy | 4319 Franklin St, Michigan City, IN 46360-7806 | 2019-07-17 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH VERNON |
| Zip Code | 47265 |
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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.