WAL-MART STORES EAST LP (NPI# 1568489722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568489722 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0585 |
| Practice Address |
2377 Dave Lyle Blvd Rock Hill SC 29730-7939 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8033668191 |
| 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 |
2641 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 726418 | 05 | |
| PK | 2090263 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0585 | 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 |
2377 DAVE LYLE BLVD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682037 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2006-06-03 |
| 1164838215 | Thuy B Tran | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-07-09 |
| 1497167241 | Jennifer Kohut | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-05-28 |
| 1285053660 | Kimberly Harrison Hawkins | Pharmacist | 2377 Dave Lyle Blvd, Rock Hill, SC 29730-7939 | 2014-04-14 |
| 1821218835 | Bonita Cherice Miles Mack | Optometrist | 2377 Dave Lyle Blvd, National Vision Center, Rock Hill, SC 29730 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| 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 |
|---|---|---|---|---|
| 1821307356 | Rhsc LLC | Pharmacy | 725 Cherry Rd Ste 103, Rock Hill, SC 29732-3143 | 2010-10-01 |
| 1346571460 | Palmetto Family Pharmacy | Pharmacy | 1030 Oakland Ave Ste 101, Rock Hill, SC 29732-3074 | 2010-01-29 |
| 1912198623 | Community Medicine Foundation | Pharmacy | 1131 Saluda Street, Rock Hill, SC 29730 | 2007-08-07 |
| 1467669077 | Medical Solutions, Inc. | Pharmacy | 1030 Oakland Ave, Rock Hill, SC 29732-3325 | 2007-05-16 |
| 1235289471 | Jadd Pharmacy Corp | Pharmacy | 253 Rock Hill Drive, Rock Hill, NY 12775 | 2007-01-11 |
| 1235240706 | Harris Teeter, LLC | Pharmacy | 2750 Celanese Rd, Rock Hill, SC 29732-8440 | 2006-08-31 |
| 1417387770 | Horaces Pharmacy LLC | Pharmacy | 1525 Celanese Rd Ste 107, Rock Hill, SC 29732-1723 | 2013-11-22 |
| 1528376720 | 808 Pharmacy and Supply Company | Pharmacy | 1030 Edwards St, Suite 110, Rock Hill, SC 29732-2549 | 2010-09-22 |
| 1376876029 | Rock Hill Pharmacy | Pharmacy | 1420 Ebenezer Rd, Suite 105, Rock Hill, SC 29732-2743 | 2009-09-14 |
| 1972722650 | Piedmont Retail Pharmacy | Pharmacy | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2007-04-24 |
| Find all providers in ROCK HILL | ||||
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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.