WAL-MART STORES EAST LP (NPI# 1689057275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689057275 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-6398 |
| Practice Address |
1569 Saxon Blvd Deltona FL 32725-5833 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 3864576190 |
| Practice Fax Number | 3864576187 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2017-02-15 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29376 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015772700 | 05 | |
| PK | 2153616 | 01 | |
| FL | 015772701DME | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-6398 | 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 |
1569 SAXON BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876080 | Nita A Patel | Pharmacist | 1569 Saxon Blvd, Deltona, FL 32725-5833 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| 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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|---|---|---|---|---|
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| 1982052361 | Jjdrug Co | Pharmacy | 1240 Providence Blvd Ste 2, Deltona, FL 32725-7352 | 2016-05-26 |
| 1366546343 | Holiday Cvs LLC | Pharmacy | 2187 Howland Blvd, Deltona, FL 32738-3441 | 2006-09-12 |
| 1720182637 | Holiday Cvs LLC | Pharmacy | 1250 Providence Blvd, Deltona, FL 32725-7300 | 2006-09-12 |
| 1134664527 | Choice Meds Usa, Inc. | Pharmacy | 1857 Providence Blvd, Deltona, FL 32725-3811 | 2016-12-21 |
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| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
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| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 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.