WAL-MART STORES EAST LP (NPI# 1679591523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679591523 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1676 |
| Practice Address |
730 Us Highway 66 E Tell City IN 47586-2758 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8125479950 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-02-28 |
| 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 |
60005077A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100203280A | 05 | |
| IN | 100203280 | 05 | |
| PK | 2027168 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1676 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
730 US HIGHWAY 66 E |
| City | TELL CITY |
| State | IN |
| Zip Code | 47586-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032056 | Dorothy Hexamer | Pharmacist | 730 Us Highway 66 E, Tell City, IN 47586-2758 | 2020-10-29 |
| 1497355846 | Hilary Lamb | Pharmacist | 730 Us Highway 66 E, Tell City, IN 47586-2758 | 2020-10-27 |
| 1356424089 | Wal-mart Stores East, Lp | Technician/Technologist | 730 Us Highway 66 E, Tell City, IN 47586-2758 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270062 | Amy Stenftenagel | Pharmacist | 730 Sr-66, Tell City, IN 47586 | 2020-06-19 |
| 1588136139 | Mark J. Flannagan Dds PC | Dentist | 741 12th St., Tell City, IN 47586 | 2018-12-20 |
| 1851837322 | Crystal Marie Miller | Occupational Therapist | 11492 Sunflower Road, Tell City, IN 47586 | 2017-01-09 |
| 1174877377 | Wesley Andrew Henderson | Nurse Anesthetist, Certified Registered | 8885 Indiana-237, Tell City, IN 47586 | 2012-11-09 |
| 1992943294 | Dixon & Dixon Auction Service LLC | Durable Medical Equipment & Medical Supplies | 2520 State Road 37, Tell City, IN 47586 | 2009-01-26 |
| 1033232889 | Donald Paul Gibson | Dentist | 901 Jefferson St, Tell City, IN 47586 | 2007-04-09 |
| 1205952710 | Dianne G Rudolph | Dentist | 740 9th, Tell City, IN 47586 | 2007-03-22 |
| 1487715652 | Gary Michael Fisher Sr. | Chiropractor | 807 12th St, Tell City, IN 47586 | 2006-12-12 |
| 1992739544 | Allen Ward Butler | Dentist | 1048-12th Street, Tell City, IN 47586 | 2006-07-10 |
| 1356309777 | Perry County Memorial Hospital | Ambulance | 8885 Sr 237, Tell City, IN 47586 | 2006-05-03 |
| Find all providers in zip 47586 | ||||
| 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 |
|---|---|---|---|---|
| 1033212758 | Hook Superx LLC | Pharmacy | 225 12th St, Tell City, IN 47586-1915 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1669095261 | Abi Westend Pharmacy | Pharmacy | 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 | 2020-05-19 |
| 1982224911 | Apotheco Pharmacy Carmel LLC | Pharmacy | 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 | 2020-04-20 |
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1831749399 | Julie Cindric | Pharmacy | 720 Adams St Ste 100, Carmel, IN 46032-7541 | 2019-09-17 |
| 1346898889 | Milan Pharmacy Inc | Pharmacy | 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 | 2019-08-28 |
| 1093361867 | Cameron Medical Outreach, Inc | Pharmacy | 306 E Maumee St Ste 106, Angola, IN 46703-2038 | 2019-08-16 |
| 1962055186 | Custom Dosing East | Pharmacy | 4319 Franklin St, Michigan City, IN 46360-7806 | 2019-07-17 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.