WAL-MART STORES EAST LP (NPI# 1629095724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629095724 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-2194 |
Practice Address |
5885 Kingstowne Blvd Alexandria VA 22315-5702 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 7039248805 |
Enumeration Date | 2006-07-16 |
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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003275 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 008507236 | 05 | |
PK | 2106442 | 01 | |
VA | 8507236 | 05 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-2194 | 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 |
5885 KINGSTOWNE BLVD |
City | ALEXANDRIA |
State | VA |
Zip Code | 22315-5702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163051 | Michelle Y Jang | Pharmacist | 5885 Kingstowne Blvd, Alexandria, VA 22315-5702 | 2020-10-26 |
1326460197 | James N Gomez Od PC | Optometrist | 5885 Kingstowne Blvd, Alexandria, VA 22315-5702 | 2014-01-14 |
1669485199 | James N Gomez | Optometrist | 5885 Kingstowne Blvd, Alexandria, VA 22315-5702 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861871865 | Wegmans Food Markets, Inc. | Pharmacy | 7905 Hilltop Village Center Drive, Alexandria, VA 22315 | 2015-05-22 |
1255731071 | Jennifer Becker | Registered Nurse | 6061 Joust Ln, Alexandria, VA 22315 | 2014-08-28 |
1386908564 | Gregory James Davis | Pharmacist | 7100 Silver Lake Rd, Alexandria, VA 22315 | 2012-07-02 |
1447525910 | Tersit Menberu Gulelat | Pharmacist | 7216 Lake Cove Dr, Alexandria, VA 22315 | 2012-03-17 |
1720392871 | Hung Quoc Chau Lu | Dentist | 6479 Old Beulah St, Alexandria, VA 22315 | 2010-07-31 |
1962727958 | Armin Susan Razavi | Obstetrics & Gynecology | 5420 Castle Bar Ln, Alexandria, VA 22315 | 2010-04-01 |
1205027463 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 5680 King Centre Dr Ste 673, Alexandria, VA 22315 | 2007-08-05 |
1114045606 | Amanuel Haileab | Pharmacist | 6400 Lansdown Center, Cvs Pharmacy, Alexandria, VA 22315 | 2007-03-26 |
1336265859 | Arnold B Braff | Optometrist | 5800 Kingstowne Blvd, Alexandria, VA 22315 | 2007-03-22 |
1154404622 | Don J Pisciotta | Dentist | 6408 Grovedale Drive, Suite 100, Franconia, VA 22315 | 2006-10-20 |
Find all providers in zip 22315 |
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 |
---|---|---|---|---|
1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
1427570258 | Medplus Ac Inc. | Pharmacy | 6020 Richmond Hwy Ste 202, Alexandria, VA 22303-2157 | 2017-07-13 |
1346777000 | Old Dominion Pharmacy LLC | Pharmacy | 8792 Sacramento Dr, Suite I, Alexandria, VA 22309-1676 | 2017-05-12 |
1467861161 | Harris Teeter LLC | Pharmacy | 735 N Saint Asaph St, Alexandria, VA 22314-1911 | 2014-08-06 |
1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
1801134028 | Wildel, LLC | Pharmacy | 403 Bolton Ave, Alexandria, LA 71301-7026 | 2013-01-23 |
1467767194 | Wildel, LLC | Pharmacy | 3311 3rd St, Alexandria, LA 71302-5704 | 2010-08-18 |
1568620946 | Walgreen Co | Pharmacy | 7629 Richmond Hwy, Alexandria, VA 22306-2802 | 2008-06-02 |
1215123096 | Walgreen Co | Pharmacy | 615 King St, Alexandria, VA 22314-3105 | 2007-09-14 |
1649474453 | Wildel, LLC | Pharmacy | 4740 Jackson Street Ext, Alexandria, LA 71303-2505 | 2007-06-14 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22315 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
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.