WAL-MART STORES EAST LP (NPI# 1689918468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689918468 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-3008 |
| Practice Address |
835 Martin Luther King Jr Dr Nw Atlanta GA 30314-3644 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4044602706 |
| Mailing Telephone | 4792040709 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-02-16 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE009887 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003132279A | 05 | |
| PK | 2138049 | 01 |
| Other Name | Type Code |
|---|---|
| Wal-Mart Pharmacy 10-3008 | 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 |
835 MARTIN LUTHER KING JR DR NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30314-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316119 | Quintin Buford Jr. | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2020-11-04 |
| 1457839268 | Christy Nicole Hunt | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2018-08-02 |
| 1902274947 | Esha Patel | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2015-09-08 |
| 1053717074 | Decola Johnson | Pharmacist | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794959 | Melonie Yeats | Social Worker | 225 James P Brawley Dr Nw, Atlanta, GA 30314 | 2019-01-15 |
| 1255843520 | Radiant Smiles Dental of Chamblee LLC | Clinic/Center | 4306 N Peachtree Road, Chamblee, GA 30314 | 2017-10-26 |
| 1275080608 | Nadya Walker | Occupational Therapy Assistant | 40 Griffin St, Atlanta, GA 30314 | 2016-09-01 |
| 1326415316 | Marion Elaine Hargett | Behavioral Analyst | 502 Pryor Street, Atlanta, GA 30314 | 2015-08-26 |
| 1295096204 | Ave Maria Marshall | Social Worker | 350 Spelman Lane, 30314, Atlanta, GA 30314 | 2012-06-06 |
| 1700164217 | Marva A Campbell | Registered Nurse | 565 Greensferry Ave Sw Apt 1703, Atlanta, GA 30314 | 2011-08-01 |
| 1699929737 | Mordena T Sullen | Dentist | 1099 Martin Luther King Jr., Drive, Atlanta, GA 30314 | 2008-11-14 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1861564460 | Margaret E Gamble | Registered Nurse | Sunset Dr, Neighborhood Union Health Center, Atlanta, GA 30314 | 2006-11-15 |
| 1457423048 | Para R Leffall | Nurse Practitioner | 186 Sunset Ave, Atlanta, GA 30314 | 2006-11-15 |
| Find all providers in zip 30314 | ||||
| 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 |
|---|---|---|---|---|
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1407492119 | Capsule Atlanta LLC | Pharmacy | 867 Peachtree St Ne Ste 102, Atlanta, GA 30308-1380 | 2019-11-18 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1912357641 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Drive, Suite B, Atlanta, GA 30331 | 2016-06-14 |
| 1285022277 | Express Food & Pharmacy Investment LLC | Pharmacy | 2111 Campbellton Rd Sw, Atlanta, GA 30311-4605 | 2014-12-30 |
| 1881024479 | Camp Creek Village Pharmacy Inc. | Pharmacy | 3220 Butner Rd Sw Suite #130, Atlanta, GA 30331 | 2013-11-18 |
| 1487093662 | Pharm Holdings | Pharmacy | 102 E Allday St, Atlanta, TX 75551-2305 | 2013-06-20 |
| 1255676326 | Eastlake Pharmacy Inc | Pharmacy | 1308 Glenwood Ave Se, Atlanta, GA 30316-2077 | 2012-11-30 |
| 1225388572 | Chamblee Pharmacy Corporation | Pharmacy | 3652 Chamblee Dunwoody Rd Ste 3, Atlanta, GA 30341-2120 | 2012-09-13 |
| Find all providers in ATLANTA | ||||
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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.