WAL-MART STORES EAST LP (NPI# 1609893999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609893999 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2719 |
| Practice Address |
1400 Farmington Ave Bristol CT 06010-4701 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8605851103 |
| 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 |
PCY.0001765 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 940004211702 | 05 | |
| CT | 004211702 | 05 | |
| PK | 2002392 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2719 | 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 |
1400 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891209458 | James T Tanski | Pharmacist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2017-11-18 |
| 1619428927 | Amy M Pagini | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-10-21 |
| 1346699451 | Mary W Florio | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-06-09 |
| 1366891376 | Joseph R Baranowskas Jr. | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-06-09 |
| 1215385604 | Ruthy Orozco | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-05-26 |
| 1912355215 | Justyna Kaniewski | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-05-26 |
| 1871861062 | Nilay Kantilal Vadsola | Pharmacist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2011-12-02 |
| 1063595783 | Michael Richard Sundman | Optometrist | 1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010-4701 | 2006-10-24 |
| 1043391055 | Wal-mart Stores East, Lp | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| 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 |
|---|---|---|---|---|
| 1881150811 | Wilson Pharmacy, Inc. | Pharmacy | 350 Blountville Hwy Ste 102, Bristol, TN 37620-1676 | 2019-02-14 |
| 1609346543 | Bristol Discount Pharmacy Inc | Pharmacy | 247 Mill St, Bristol, PA 19007-4803 | 2018-12-04 |
| 1407950207 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 400 Metacom Ave, Bristol, RI 02809-5188 | 2006-09-12 |
| 1083717722 | Virginia Cvs Pharmacy L L C | Pharmacy | 31 E Valley Dr, Bristol, VA 24201-2822 | 2006-09-07 |
| 1205939907 | Tennessee Cvs Pharmacy LLC | Pharmacy | 3030 W State St, Bristol, TN 37620-1719 | 2006-09-07 |
| 1548363237 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1379 Volunteer Pkwy, Bristol, TN 37620-5709 | 2006-09-07 |
| 1568477529 | Walgreen Co | Pharmacy | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2006-07-29 |
| 1700805934 | Professional Pharmaceutical Services, Inc. | Pharmacy | 1883 Euclid Ave, Bristol, VA 24201-3605 | 2006-07-19 |
| 1043243439 | Pharmacy Investment Coordinators Inc | Pharmacy | 11049 Nw State Road 20, Bristol, FL 32321-6406 | 2006-07-08 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| Find all providers in BRISTOL | ||||
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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.