WAL-MART STORES EAST LP (NPI# 1700803830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700803830 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2651 |
| Practice Address |
100 N Main St Manville NJ 08835-1358 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9085758928 |
| 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 |
28RS00566200 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2054026 | 01 | |
| NJ | 7816201 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2651 | 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 N MAIN ST |
| City | MANVILLE |
| State | NJ |
| Zip Code | 08835-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385870 | Gaurab Sanyal | Pharmacist | 100 N Main St, Manville, NJ 08835-1358 | 2020-10-28 |
| 1992304463 | Sima Thakkar | Pharmacist | 100 N Main St, Manville, NJ 08835-1358 | 2020-10-25 |
| 1619059508 | Wal-mart Stores East, Lp | Technician/Technologist | 100 N Main St, Manville, NJ 08835-1358 | 2006-10-19 |
| 1043306533 | John Saqa | Optometrist | 100 N Main St, Walmart Vision Center, Manville, NJ 08835-1358 | 2006-10-04 |
| 1093799769 | Scott Charles Mylroie | Pharmacist | 100 N Main St, Manville, NJ 08835-1358 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145639 | A2z Dental | Clinic/Center | 255 North Main Str., Manville, NJ 08835 | 2016-03-04 |
| 1497798581 | Maria Auletta | Family Medicine | 23 25 S. Main St., Suite 2, Manville, NJ 08835 | 2006-06-14 |
| 1609942341 | Planned Parenthood of Central and Greater Northern Nj | Non-Pharmacy Dispensing Site | 203 South Main Street, Manville, NJ 08835 | 2006-11-27 |
| 1144238015 | Nirali Trivedi | Dentist | 7 Washington Ave, Manville, NJ 08835 | 2006-08-04 |
| 1891089462 | Jillian Orlick | Speech-Language Pathologist | 305 Dailey Pl, Manville, NJ 08835-1120 | 2011-06-01 |
| 1316328768 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 1309 Louis St, Manville, NJ 08835-1144 | 2015-06-11 |
| 1093355687 | Mildred Miller-king | Case Manager/Care Coordinator | 115 N 8th Ave, Manville, NJ 08835-1249 | 2020-01-10 |
| 1396379889 | New Heights Group Home LLC | Day Training, Developmentally Disabled Services | 115 N 8th Ave, Manville, NJ 08835-1249 | 2020-02-24 |
| 1003094228 | Karen Ann Lewandowski | Pharmacist | 120 N Main St, Manville, NJ 08835-1358 | 2008-02-11 |
| 1386822567 | Wayne Alan Jameson | Pharmacist | 120 N Main St, Manville, NJ 08835-1358 | 2008-02-10 |
| Find all providers in zip 08835 | ||||
| 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 |
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| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| 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.