WAL-MART STORES EAST LP (NPI# 1568984912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568984912 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-7185 |
| Practice Address |
3655 Browns Bridge Rd Cumming GA 30028 |
| Mailing Address |
702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792772500 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTH CARE 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 |
Suppliers |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-7185 | 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 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| 1255871778 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6801 Black Horse Pike Ste 100, Ste 100, Egg Harbor Township, NJ 08234-4131 | 2017-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
3655 BROWNS BRIDGE RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013993 | Jyoti Sinha | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-11-06 |
| 1427658319 | Keyur Patel | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-10-29 |
| 1588284020 | Angela Lee | Pharmacist | 3655 Browns Bridge Rd, Cumming, GA 30028-4134 | 2020-04-24 |
| 1457873416 | Wal-mart East, Lp | Technician/Technologist | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1306131198 | Megin Murphy Ward | Speech-Language Pathologist | 4215 Pheasant Run Trace, Cumming, GA 30028 | 2011-06-09 |
| 1265600654 | Kevin Allen Lowden | Dentist | 755 Mt Vernon Hwy Ne, Suite 440, Atlanta, GA 30028 | 2008-02-19 |
| 1730619222 | Amy Renee Profesorsky | Physical Therapist | 6030 Thrasher Ct, Cumming, GA 30028-2217 | 2017-06-15 |
| 1790395697 | Graciela Osses | Registered Nurse | 1945 Dr Bramblett Rd, Cumming, GA 30028-2852 | 2020-08-05 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
| 1487073904 | North Georgia Therapy for Kids, LLC | Clinic/Center | 4655 Dahlonega Hwy, Cumming, GA 30028-3304 | 2014-04-11 |
| 1609435593 | Jolanda Catoyia Wilkerson | Counselor | 4625 Sundance Cir, Cumming, GA 30028-3416 | 2019-06-13 |
| 1760669238 | Philip Gerard Tobia | Physical Therapist | 4665 Sundance Cir, Cumming, GA 30028-3416 | 2008-01-28 |
| Find all providers in zip 30028 | ||||
| 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 |
|---|---|---|---|---|
| 1770041956 | Creekside Pharmacy Corp | Pharmacy | 220 Atlanta Rd, Cumming, GA 30040-2610 | 2019-03-07 |
| 1689861189 | Walgreen Co | Pharmacy | 3290 Keith Bridge Rd, Cumming, GA 30041-3937 | 2007-09-28 |
| 1538352588 | Walgreen Co | Pharmacy | 2595 Peachtree Pkwy, Cumming, GA 30041-7223 | 2007-08-23 |
| 1861557639 | Sawnee Drug Co | Pharmacy | 2515 Business Dr, Cumming, GA 30040-4394 | 2006-12-22 |
| 1952316804 | Ingles Markets Inc | Pharmacy | 1090 Buford Rd, Cumming, GA 30041-2720 | 2006-07-29 |
| 1861407975 | Walgreen Co | Pharmacy | 1650 Buford Hwy, Cumming, GA 30041-6585 | 2006-07-29 |
| 1689696478 | Georgia Cvs Pharmacy LLC | Pharmacy | 1525 Market Place Blvd, Cumming, GA 30041-7935 | 2006-07-24 |
| 1992221618 | Walgreen Co | Pharmacy | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2017-08-15 |
| 1053702191 | Georgia Highlands Medical Services, Inc. | Pharmacy | 260 Elm St, Cumming, GA 30040-2467 | 2015-02-11 |
| 1265820799 | Shadyl Pharmacy Management, LLC | Pharmacy | 5610 Bethelview Rd, Suite 700, Cumming, GA 30040-7522 | 2015-01-06 |
| Find all providers in CUMMING | ||||
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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.