WAL-MART STORES EAST LP (NPI# 1578581260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578581260 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2849 |
| Practice Address |
320 Mallard Ln Mason WV 25260-1249 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3047739186 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-02-15 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MP0552264 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0227799033 | 05 | |
| WV | 227799033 | 05 | |
| PK | 2111400 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2849 | 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 |
320 MALLARD LN |
| City | MASON |
| State | WV |
| Zip Code | 25260-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003954 | Derek W Rhodes | Pharmacist | 320 Mallard Ln, Mason, WV 25260-1249 | 2020-11-05 |
| 1255932240 | Matthew Ash | Pharmacist | 320 Mallard Ln, Mason, WV 25260-1249 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070641 | Tasha Nichole Chapman | Home Health Aide | 209 Pomeroy St, Mason, WV 25260 | 2020-03-31 |
| 1649689852 | Heather Edwards | Massage Therapist | 112 2nd St, Mason, WV 25260 | 2014-08-13 |
| 1558415653 | Earnest Leon Trent Jr. | Dentist | 1093 2nd St, Mason, WV 25260 | 2007-01-23 |
| 1215038401 | Robert G Tayengco | Internal Medicine | 2007 Second Street, Mason, WV 25260 | 2006-09-26 |
| 1316147796 | Wesley R Lieving | Internal Medicine | 2007 Second Street, Mason, WV 25260 | 2007-07-23 |
| 1083274385 | Pleasant Valley Hospital Inc | Clinic/Center | 2007 2nd St, Mason, WV 25260-1269 | 2019-06-18 |
| 1013529890 | Carol Ann Fowler | Technician | 261 Aspen Ln, Mason, WV 25260-1348 | 2020-08-21 |
| 1104423771 | Teddie Quin Box | Technician | 671 Anderson St, Mason, WV 25260-1353 | 2020-10-06 |
| 1497965461 | Westmoreland Family Care Center, Inc | Family Medicine | Rr 1 Box 44b, Mason, WV 25260-9601 | 2007-05-22 |
| 1578093944 | Veronica L Rivas | Specialist/Technologist | 1 White Falcon Dr, Mason, WV 25260-9615 | 2017-06-18 |
| Find all providers in zip 25260 | ||||
| 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 |
|---|---|---|---|---|
| 1881238798 | Mercy Health Cincinnati LLC | Pharmacy | 7160 Industrial Row Dr Ste 331, Mason, OH 45040-1695 | 2019-11-04 |
| 1821655051 | Future Gate Enterprises LLC | Pharmacy | 7920 S Mason Montgomery Rd, Mason, OH 45040-8249 | 2019-05-22 |
| 1821124108 | Walgreen Co | Pharmacy | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2007-02-23 |
| 1891899621 | Ohio Cvs Stores LLC | Pharmacy | 5525 Parkside Dr, Mason, OH 45040-2211 | 2006-09-12 |
| 1134134133 | Walgreen Co | Pharmacy | 1086 Reading Rd, Mason, OH 45040-1399 | 2006-07-29 |
| 1033416854 | Skilled Care Direct LLC | Pharmacy | 6175 Hi Tek Ct, Mason, OH 45040-2603 | 2011-02-14 |
| 1538477526 | Quality Care Pharmacy | Pharmacy | 566 N Cedar St, Mason, MI 48854-1015 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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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.