WAL-MART STORES EAST LP (NPI# 1659398964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659398964 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2797 |
| Practice Address |
100 Charlton Rd Sturbridge MA 01566-1505 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5083476344 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 |
CS2927 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0448079 | 05 | |
| PK | 2038709 | 01 | |
| MA | 448079 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2797 | 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 |
100 CHARLTON RD |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729742 | Jennifer O'neill | Pharmacist | 100 Charlton Rd, Sturbridge, MA 01566-1505 | 2020-11-01 |
| 1851991731 | Karen Ann Blakely | Pharmacist | 100 Charlton Rd, Sturbridge, MA 01566-1505 | 2020-10-29 |
| 1548574361 | Lien-thu Van Dao | Optometrist | 100 Charlton Rd, Center At Hobbs Brook, Sturbridge, MA 01566-1505 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| 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] |
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|---|---|---|---|---|
| 1346853728 | Bidmc Pharmacy, Inc. | Pharmacy | 80 Wilson Way Ste A, Westwood, MA 02090-1806 | 2020-08-26 |
| 1992339022 | Quachnguyen Inc | Pharmacy | 260 High St Unit B, Lowell, MA 01852-2323 | 2020-02-27 |
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1538709126 | Vrx Solutions LLC | Pharmacy | 153 Cochituate Rd, Framingham, MA 01701-7821 | 2020-01-10 |
| 1356990931 | Capsule Pharmacy Boston LLC | Pharmacy | 414 Boylston St, Boston, MA 02116-3801 | 2019-09-06 |
| 1689221038 | Norwood Pharmacy Inc | Pharmacy | 54 Broadway, Norwood, MA 02062-3562 | 2019-08-21 |
| 1225683576 | Cvs Pharmacy Inc | Pharmacy | 793 Iyannough Rd, Hyannis, MA 02601-5027 | 2019-08-05 |
| 1639732001 | Health First Pharmacy Corp | Pharmacy | 855 Worcester Rd Ste 5, Framingham, MA 01701-5248 | 2019-04-20 |
| 1992275259 | Rodeanpharma LLC | Pharmacy | 105 E Main St Unit A, Milford, MA 01757-2709 | 2018-11-29 |
| 1285103804 | Dostert and Dove,llc | Pharmacy | 161 Eastern Ave Ste 6, Lynn, MA 01902-1307 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
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.