WAL-MART STORES EAST LP (NPI# 1386820710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386820710 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-3610 |
| Practice Address |
7100 Raggard Rd Louisville KY 40216-1287 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5024474556 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2008-01-16 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07235 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2035012 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-3610 | 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 |
7100 RAGGARD RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375022 | William Banks | Pharmacist | 7100 Raggard Rd, Louisville, KY 40216-1287 | 2020-10-26 |
| 1992235691 | Christopher Cody Sissle | Pharmacist | 7100 Raggard Rd, Louisville, KY 40216-1287 | 2017-06-14 |
| 1134424906 | Kelly Parmenter-eck | Nurse Practitioner | 7100 Raggard Rd, Louisville, KY 40216-1287 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| 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 |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| 1528619806 | Lifewell Rx Pharmacy | Pharmacy | 2200 Buechel Ave Ste 104, Louisville, KY 40218-2664 | 2019-09-27 |
| 1407367410 | St Matthews Specialty Pharmacy Pllc | Pharmacy | 3922b Willis Ave, Louisville, KY 40207-4911 | 2017-10-17 |
| 1043675507 | New Life Pharmacy Inc | Pharmacy | 5721 Preston Hwy, Louisville, KY 40219-1305 | 2015-12-28 |
| 1811378524 | East Louisville Interventional Pain Specialists Pllc | Pharmacy | 4205 Springhurst Blvd Ste 101, Louisville, KY 40241-6159 | 2015-06-18 |
| 1851641666 | The Tamarkin Company | Pharmacy | 108 W Main Street, Louisville, OH 44641-1226 | 2012-09-19 |
| 1801161732 | Parmiss Corp | Pharmacy | 10278 Shelbyville Rd, Louisville, KY 40223-2955 | 2012-03-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
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.