WAL-MART STORES EAST LP (NPI# 1568489854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568489854 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5344 |
| Practice Address |
1238 Putty Hill Ave Ste 5 Towson MD 21286-5878 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4104944619 |
| 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 |
P04183 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2037984 | 01 | |
| MD | 407673700 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5344 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
1238 PUTTY HILL AVE STE 5 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| 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 |
|---|---|---|---|---|
| 1669527784 | Ruxton Pharmacy Inc | Pharmacy | 7621 Bellona Ave, Towson, MD 21204-6610 | 2007-01-25 |
| 1518527704 | Koulward Health LLC Population Health Pharmacy | Pharmacy | 7505 Osler Dr, Towson, MD 21204-7736 | 2019-06-19 |
| 1548784812 | Jp Pharmacy LLC | Pharmacy | 515 Fairmount Ave Ste 130, Towson, MD 21286-8520 | 2017-07-28 |
| 1831527357 | Austin Pharmacy Inc | Pharmacy | 901 Dulaney Valley Rd, Suite 300, Towson, MD 21204-2600 | 2013-10-18 |
| 1952642019 | Btcn, LLC | Pharmacy | 716 Dulaney Valley Rd, Towson, MD 21204-5109 | 2013-03-13 |
| 1467790089 | Weis Markets Inc | Pharmacy | 1238 Putty Hill Ave, Towson, MD 21286-5844 | 2013-01-17 |
| 1194052837 | Towson Pharmacy Inc | Pharmacy | 32 West Rd, Suite 100, Towson, MD 21204-2302 | 2009-11-16 |
| 1366625279 | Medbank of Maryland Inc | Pharmacy | 7400 York Rd, Suite 400, Towson, MD 21204-7531 | 2007-12-13 |
| 1548451966 | Osler Medical Pharmacy Pa | Pharmacy | 7600 Osler Dr, Ste 110, Towson, MD 21204-7735 | 2007-08-09 |
| 1326154246 | Professional Pharmacy Services, Inc. | Pharmacy | 7505 Osler Dr, Towson, MD 21204-7736 | 2006-08-22 |
| Find all providers in TOWSON | ||||
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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.