WAL-MART STORES EAST LP (NPI# 1649297912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649297912 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1939 |
| Practice Address |
15 Tibbetts Dr Brunswick ME 04011-2680 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2077251176 |
| Practice Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-07-19 |
| 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 |
PH50001145 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 999101117 | 05 | |
| ME | 187470021 | 05 | |
| PK | 2036823 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1939 | 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 |
15 TIBBETTS DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029405 | Lilian Ijeoma Ogagan | Pharmacist | 15 Tibbetts Dr, Brunswick, ME 04011-2680 | 2018-07-11 |
| 1821584525 | Erin Desfosses | Pharmacist | 15 Tibbetts Dr, Brunswick, ME 04011-2680 | 2018-07-05 |
| 1568542942 | Wal-mart Stores East, Lp | Technician/Technologist | 15 Tibbetts Dr, Brunswick, ME 04011-2680 | 2006-10-17 |
| 1992718472 | Jessica J Landry | Pharmacist | 15 Tibbetts Dr, Wal-mart Pharmacy, Brunswick, ME 04011-2680 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1497272728 | Weis Markets, Inc. | Pharmacy | 1201 Dutchman's Creek Drive, Brunswick, MD 21716 | 2017-08-28 |
| 1710359864 | Genoa Healthcare, LLC | Pharmacy | 600 Coastal Village Dr Rm 107, Brunswick, GA 31520-1973 | 2015-10-28 |
| 1619000684 | Marc Glassman Inc | Pharmacy | 3303 Center Rd, Brunswick, OH 44212-3830 | 2007-03-13 |
| 1760585418 | Georgia Cvs Pharmacy LLC | Pharmacy | 1709 Gloucester St, Brunswick, GA 31520-6902 | 2006-09-07 |
| 1851494512 | Georgia Cvs Pharmacy LLC | Pharmacy | 5421 New Jesup Hwy, Brunswick, GA 31523-1137 | 2006-09-07 |
| 1952316721 | City Drug Store | Pharmacy | 1402 Newcastle St, Brunswick, GA 31520-7018 | 2006-07-30 |
| 1871508895 | Walgreen Co | Pharmacy | 1337 Pearl Rd, Brunswick, OH 44212-2807 | 2006-07-29 |
| 1942215058 | Walgreen Co | Pharmacy | 4575 Altama Ave, Brunswick, GA 31520-3008 | 2006-07-29 |
| 1336165547 | Southeastern Pharmacy LLC | Pharmacy | 5711 Altama Ave, Unit G, Brunswick, GA 31525-2240 | 2006-07-14 |
| 1538683529 | Walgreen Co | Pharmacy | 156 Maine St, Brunswick, ME 04011-2007 | 2017-08-01 |
| Find all providers in BRUNSWICK | ||||
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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.