WAL-MART STORES EAST LP (NPI# 1417974791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417974791 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1891 |
| Practice Address |
420 Buckland Hills Dr Manchester CT 06042-8755 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8606445105 |
| 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 |
PCY0001455 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004129161 | 05 | |
| CT | 940004129161 | 05 | |
| PK | 2000248 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1891 | 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 |
420 BUCKLAND HILLS DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967905 | Yan Zhang | Optometrist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-10-03 |
| 1386135465 | Jay Alan Berman | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-05-23 |
| 1063912749 | Chaitali J Tophkhane | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-02-19 |
| 1780190579 | Madhura Naik | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2017-12-16 |
| 1972048460 | Fang Vision Care LLC | Optometrist | 420 Buckland Hills Dr, Vision Center, Manchester, CT 06042-8755 | 2016-12-20 |
| 1316491855 | Laura Crane | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-08-13 |
| 1477913515 | Matthew Bigos | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-03-02 |
| 1598125775 | Michael Thompson | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-03-01 |
| 1598827156 | Jamie L Bonafine | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2006-12-13 |
| 1528157393 | Ronald S Levitt | Optometrist | 420 Buckland Hills Dr, Manchester, CT 06040 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| 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 |
|---|---|---|---|---|
| 1043776768 | Jdl Consulting LLC | Pharmacy | 118 Clay County Shopping Ctr, Manchester, KY 40962-1299 | 2019-02-18 |
| 1104291707 | Manchester Pharmacy & Medical | Pharmacy | 4310 N George Street Ext, Manchester, PA 17345-1307 | 2015-12-08 |
| 1457693822 | Morgans Professional Pharmacy LLC | Pharmacy | 280 Richmond Rd, Manchester, KY 40962-1209 | 2013-03-22 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1447557632 | Qualicare Pharmacy LLC | Pharmacy | 342 Main St., Manchester, CT 06040 | 2011-02-24 |
| 1871676130 | Cvs Manchester Nh, L.L.C. | Pharmacy | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2006-10-23 |
| 1063595320 | Cvs Manchester Nh LLC | Pharmacy | 788 S Willow St, Manchester, NH 03103-4018 | 2006-10-23 |
| 1245325844 | Blake Pharmacy, Inc. | Pharmacy | 35 E Second St, Manchester, OH 45144-1301 | 2006-10-03 |
| 1881787257 | Southern Family Markets LLC | Pharmacy | 2050 Hillsboro Blvd, Manchester, TN 37355-7306 | 2006-09-30 |
| 1033743109 | Manchester Prescription Center, LLC | Pharmacy | 1668 S Highway 421, Manchester, KY 40962-7514 | 2020-02-27 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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.