WAL-MART STORES EAST LP (NPI# 1477957397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477957397 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACT 10-3724 |
| Practice Address |
332 Stonewall Jackson Blvd Orangeburg SC 29115-7291 |
| Mailing Address |
702 Sw 8th St Mailstop 4550 Bentonville AR 72716-0445 |
| Practice Telephone | 8039976138 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-10-09 |
| 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 |
15576 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148908 | 01 | |
| SC | 715577 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmact 10-3724 | 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 |
332 STONEWALL JACKSON BLVD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933646 | Courtney Linenbrink | Pharmacist | 332 Stonewall Jackson Blvd, Orangeburg, SC 29115-7291 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| 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 |
|---|---|---|---|---|
| 1962574764 | Dickerson Investments LLC | Pharmacy | 3160 North Rd, Orangeburg, SC 29118-2805 | 2006-11-15 |
| 1124121611 | South Carolina Cvs Pharmacy LLC | Pharmacy | 2195 Magnolia St, Orangeburg, SC 29115-4484 | 2006-09-07 |
| 1659474419 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1535 John C Calhoun Dr, Orangeburg, SC 29115-7279 | 2006-09-07 |
| 1609982636 | Jamisons Pharmacy Inc | Pharmacy | 1225 Goff Ave, Orangeburg, SC 29115-3671 | 2006-08-22 |
| 1467828715 | Cvs Pharmacy | Pharmacy | 2195 Magnolia St, Orangeburg, SC 29115-4484 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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.