WAL-MART STORES EAST LP (NPI# 1720005044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720005044 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1247 |
| Practice Address |
120 Daniel Boone Plz Hazard KY 41701-5335 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6064391871 |
| Enumeration Date | 2006-07-16 |
| 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 |
PO2143 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 5400782800 | 05 | |
| KY | 5402372600 | 05 | |
| PK | 2031452 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1247 | 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 |
120 DANIEL BOONE PLZ |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841533 | Bobby Coots | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-04 |
| 1972103588 | Michael Mcintosh | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-01 |
| 1932720257 | Hailey Kuracka | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-04-27 |
| 1396974077 | Southeast Vision Associates, LLC | Optometrist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2009-07-02 |
| 1356426936 | Wal-mart Stores East, Lp | Technician/Technologist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| 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 |
|---|---|---|---|---|
| 1528431608 | Mountain Community Pharmacy LLC | Pharmacy | 1908 N Main St Ste 108, Hazard, KY 41701-2505 | 2015-11-11 |
| 1376949362 | Pharmacy Care Center | Pharmacy | 101 Town and Country Ln Ste 101, Hazard, KY 41701-9524 | 2014-11-18 |
| 1003217241 | Rx Discount Pharmacy, Inc. | Pharmacy | 1908 N Main St Ste 180, Hazard, KY 41701-2505 | 2014-09-08 |
| 1881839637 | Family Pharmacy of Perry County LLC | Pharmacy | 747 Morton Blvd, Hazard, KY 41701-9469 | 2008-12-09 |
| 1194828848 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 30 S Ky Highway 15, Hazard, KY 41701-6029 | 2006-09-07 |
| 1326093162 | Rx Discount Pharmacy Inc | Pharmacy | 40 Grand Vue Plz, Hazard, KY 41701-6841 | 2006-05-23 |
| 1407484199 | Hometown Pharmacy of Hazard LLC | Pharmacy | 221 E Main St, Hazard, KY 41701-1920 | 2020-03-30 |
| 1942792536 | Appalachian Regional Healthcare, Inc | Pharmacy | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2018-05-31 |
| 1902349996 | Pharmacy Care Centers Clinic LLC | Pharmacy | 101 Town and Country Ln, Suite 101, Hazard, KY 41701-9524 | 2016-11-23 |
| 1245650647 | Rx Discount Pharmacy Inc | Pharmacy | 132 Grand Vue Plz, Hazard, KY 41701-6842 | 2014-04-24 |
| Find all providers in HAZARD | ||||
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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.