WAL-MART STORES EAST LP (NPI# 1457378861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457378861 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0699 |
| Practice Address |
2530 Jackson Ave W Oxford MS 38655-5403 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6622365905 |
| Practice Fax Number | 7062787823 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 |
01959 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09328784 | 05 | |
| MS | 9328784 | 05 | |
| PK | 2044983 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0699 | 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 |
2530 JACKSON AVE W |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245314 | Jennifer Shaw Wilburn | Pharmacist | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2020-11-05 |
| 1275134504 | Will Brigtsen | Pharmacist | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2020-11-03 |
| 1518243443 | North Mississippi Clinics, LLC | Nurse Practitioner | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2011-10-24 |
| 1811019839 | J. A. Riffe Od PC | Optometrist | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2007-04-03 |
| 1801918826 | Jim Riffe | Optometrist | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2007-04-03 |
| 1073696886 | Wal-mart Stores, Inc. | Technician/Technologist | 2530 Jackson Ave W, Oxford, MS 38655-5403 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1043861768 | Oxford Rx | Pharmacy | 821 N Lamar Blvd, Oxford, MS 38655-2841 | 2019-09-24 |
| 1932220373 | Walgreen Co. | Pharmacy | 200 S Locust St, Oxford, OH 45056-1718 | 2007-04-03 |
| 1629192661 | Midtown Drugs | Pharmacy | 800 North Lamar, Midtown Drugs, Oxford, MS 38655 | 2007-03-16 |
| 1083738207 | Waller's Discount Drugs, Inc. | Pharmacy | 2209 S Lamar Blvd, Oxford, MS 38655-5225 | 2007-03-16 |
| 1356439079 | Family Pharmacy Inc | Pharmacy | 610 Quintard Dr, Oxford, AL 36203-1840 | 2006-10-10 |
| 1932142304 | Alabama Cvs Pharmacy LLC | Pharmacy | 400 Oxford Exchange Blvd, Oxford, AL 36203-3459 | 2006-06-14 |
| 1477108322 | Baptist Memorial Hospital North Mississippi, Inc | Pharmacy | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2019-08-07 |
| 1285137547 | Katherine Stovall | Pharmacy | 1900 Oxford Exchange Blvd, Oxford, AL 36203-3487 | 2018-03-13 |
| 1548713746 | Price Chopper Inc | Pharmacy | 140 Main St, Oxford, CT 06478-1056 | 2016-07-25 |
| 1306216023 | Oxford Premier Pharmacy, LLC | Pharmacy | 1735 University Ave, Ste B, Oxford, MS 38655 | 2015-10-07 |
| Find all providers in OXFORD | ||||
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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.