WAL-MART STORES EAST LP (NPI# 1639196058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639196058 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0689 |
| Practice Address |
177 Washington Dr Somerset KY 42501-2938 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6066798466 |
| 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 |
PO1920 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030609 | 01 | |
| KY | 5400654900 | 05 | |
| KY | 5402095300 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0689 | 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 |
177 WASHINGTON DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114005 | Meghan Ealy | Pharmacist | 177 Washington Dr, Somerset, KY 42501-2938 | 2020-11-05 |
| 1467052407 | Eric Atwell | Pharmacist | 177 Washington Dr, Somerset, KY 42501-2938 | 2020-10-29 |
| 1033439609 | Brandi Weddle | Nurse Practitioner | 177 Washington Dr, Somerset, KY 42501-2938 | 2010-06-07 |
| 1811015910 | David M. Eads, O.d. & Associates, Psc | Optometrist | 177 Washington Dr, Somerset, KY 42501-2938 | 2007-03-27 |
| 1730236654 | Cecile Nora Walker | Nurse Practitioner | 177 Washington Dr, Somerset, KY 42501-2938 | 2007-01-04 |
| 1811044951 | David M Eads | Optometrist | 177 Washington Dr, Somerset, KY 42501-2938 | 2007-01-04 |
| 1124101852 | Wal-mart Stores East, Lp | Technician/Technologist | 177 Washington Dr, Somerset, KY 42501-2938 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1376833970 | Medicine Shoppe Long Term Care | Pharmacy | 900 E Mount Vernon St Unit B, Somerset, KY 42501-1228 | 2011-04-15 |
| 1407027154 | Drug Fair Group, Inc. | Pharmacy | 800 Cottontail Ln, Somerset, NJ 08873-1227 | 2008-03-20 |
| 1437334109 | Bobrowski Industries Co | Pharmacy | 107 Parent St, Somerset, WI 54025-7439 | 2007-12-31 |
| 1356532352 | Goforth Pharmacy LLC | Pharmacy | 406 Bogle St, Somerset, KY 42503 | 2007-08-05 |
| 1144361569 | Century Pharmacy, Inc. | Pharmacy | 875 South Highway 27, Somerset, KY 42501 | 2007-02-09 |
| 1134212582 | Genmar.eb Inc. | Pharmacy | 131 S Pleasant Ave, Somerset, PA 15501-2189 | 2006-09-30 |
| 1154421584 | Cvs Pharmacy Inc | Pharmacy | 1587 Brayton Point Rd, Somerset, MA 02725 | 2006-09-25 |
| 1659474393 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 144 N Highway 27, Somerset, KY 42503-1732 | 2006-09-07 |
| 1730282583 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 110 S Pleasant Ave, Somerset, PA 15501-2193 | 2006-09-07 |
| Find all providers in SOMERSET | ||||
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.