WAL-MART STORES EAST LP (NPI# 1538186879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538186879 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5275 |
| Practice Address |
6435 Bells Ferry Rd Woodstock GA 30189-2317 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7709263626 |
| 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 |
PHRE008895 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 716943208A | 05 | |
| PK | 2015665 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5275 | 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 |
6435 BELLS FERRY RD |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265573 | Marilyn Taylor | Pharmacist | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2020-11-05 |
| 1346841475 | Stacy Shoemake Park | Pharmacist | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2020-11-04 |
| 1356941298 | Justin Snider | Pharmacist | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2020-10-29 |
| 1053634808 | Expert Eye Care, Inc | Clinic/Center | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2010-03-09 |
| 1770790925 | Steven Richard Stein | Optometrist | 6435 Bells Ferry Rd, Walmart Vision Center, Woodstock, GA 30189-2317 | 2007-05-17 |
| 1811079247 | Wal-mart Stores East, Lp | Technician/Technologist | 6435 Bells Ferry Rd, Woodstock, GA 30189-2317 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1831480078 | Towne Lake Family Pharmacy LLC | Pharmacy | 2045 Towne Lake Pkwy Ste 110, Woodstock, GA 30189-5549 | 2011-04-21 |
| 1770798308 | Walgreen Co | Pharmacy | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 | 2007-05-14 |
| 1093819856 | Cvs Albany LLC | Pharmacy | 60 Mill Hill Rd, Woodstock, NY 12498-1316 | 2006-09-12 |
| 1437252178 | Virginia Cvs Pharmacy L L C | Pharmacy | 221 West Reservoir Rd, Woodstock, VA 22664 | 2006-09-07 |
| 1487142584 | Costco Wholesale Corporation | Pharmacy | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1265759815 | Progression LLC | Pharmacy | 79 Tinker St, Woodstock, NY 12498-1238 | 2010-04-22 |
| 1992927479 | Shire Apothecary, Inc. | Pharmacy | 13 Elm Street, Woodstock, VT 05091 | 2007-05-03 |
| 1366593139 | Woodstock Drug Inc | Pharmacy | 28891 Highway 5, Woodstock, AL 35188-0280 | 2007-01-16 |
| 1679643332 | Woodstock Pharmaceutical & Compounding Center Inc | Pharmacy | 8612 Main St, Woodstock, GA 30188-4829 | 2006-11-09 |
| 1366536773 | Mercy Health System Corporation | Pharmacy | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2006-10-03 |
| Find all providers in WOODSTOCK | ||||
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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.