WAL-MART STORES INC (NPI# 1649673443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649673443 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES INC |
| Other Organization Name | WALMART PHARMACY 10-2601 |
| Practice Address |
814 W Main St Charleston AR 72933-8907 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72712 |
| Practice Telephone | 4799658503 |
| Practice Fax Number | 4799658506 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRAC) |
| Authorized Official Telephone | 4792048550 |
| 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 |
AR20789 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 207322407 | 05 | |
| PK | 2149059 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2601 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980219 | Wal-mart Stores Inc | Technician/Technologist | 4425 Venetucci Blvd, Fountain, CO 80906 | 2015-04-23 |
| 1932590999 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Orchard Dr, Hillsboro, KS 67063-3502 | 2015-02-12 |
| 1538558994 | Wal-mart Stores Inc | Technician/Technologist | 3460 W Chandler Blvd, Chandler, AZ 85226-5065 | 2015-01-22 |
| 1861897134 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1105 E 15th St, Ellsworth, KS 67439-8548 | 2014-10-29 |
| 1316342686 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 120 W Rosewood St, Rose Hill, KS 67133-9301 | 2014-10-29 |
| 1578967212 | Wal-mart Stores Inc | Pharmacy | 1531 E Highway 64, Coal Hill, AR 72832-8704 | 2014-10-09 |
| 1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
| 1497158349 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 900 E Ross St, Clearwater, KS 67026-7849 | 2014-10-07 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Street Address |
814 W MAIN ST |
| City | CHARLESTON |
| State | AR |
| Zip Code | 72933-8907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291290 | Damon Mark Mckenzie | Counselor | 107 S. Hancock, Charleston, AR 72933 | 2018-04-04 |
| 1700262375 | Lacey J Parker | Pharmacist | 621 East Main St, Charleston, AR 72933 | 2015-08-06 |
| 1306222872 | Courtney Houston | Pharmacist | 621 E Main Street, Charleston, AR 72933 | 2015-08-06 |
| 1518138478 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 17 So. Logan St., Charleston, AR 72933 | 2008-03-19 |
| 1356568562 | Tammy L Myers | Speech-Language Pathologist | 500 S Greenwood, Charleston, AR 72933 | 2007-04-19 |
| 1942427562 | City of Charleston Supt of Schools District 9 | Psychologist | 125 West Main Street, Charleston, AR 72933 | 2007-04-18 |
| 1376685107 | Stephanie Sharp | Speech-Language Pathologist | 9300 East County Line Road, Charleston, AR 72933 | 2007-02-12 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1508853466 | Timbi D West | Nurse Practitioner | 1006 E Main Street, Charleston, AR 72933 | 2005-10-05 |
| Find all providers in zip 72933 | ||||
| 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 |
|---|---|---|---|---|
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1134696230 | Holy City Pharmacy LLC | Pharmacy | 354 Folly Rd Ste 1, Charleston, SC 29412-2594 | 2018-10-26 |
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1407379449 | Walgreen Co | Pharmacy | 334 E Bay St Unit D, Charleston, SC 29401-1592 | 2017-07-21 |
| 1720495401 | Good Life Apothecary, Inc | Pharmacy | 3212 Penn Ave # 8, Charleston, WV 25302-4537 | 2014-07-15 |
| 1508008202 | Delta of Charleston Inc | Pharmacy | 320 E Bay St, Charleston, SC 29401-1681 | 2009-03-27 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354246 | South Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2566 Ashley River Rd, Charleston, SC 29414-4605 | 2006-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 72933 |
Please comment or provide details below to improve the information on WAL-MART STORES INC.
| 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.