WAL-MART STORES EAST LP (NPI# 1720005853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720005853 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1450 |
| Practice Address |
200 Academy Dr Ripley WV 25271-1157 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3043724487 |
| Enumeration Date | 2006-07-16 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MP0552343 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110652 | 01 | |
| WV | 227799003 | 05 | |
| WV | 0227799003 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1450 | 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 |
200 ACADEMY DR |
| City | RIPLEY |
| State | WV |
| Zip Code | 25271-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205902 | Sharon Elaine Purdy | Pharmacist | 200 Academy Dr, Ripley, WV 25271-1157 | 2020-11-05 |
| 1043810666 | Brittany Leigh Howden | Pharmacist | 200 Academy Dr, Ripley, WV 25271-1157 | 2020-11-01 |
| 1609476068 | Terry Adkins | Pharmacist | 200 Academy Dr, Ripley, WV 25271-1157 | 2020-10-27 |
| 1306038153 | Benjamin C Fisher | Optometrist | 200 Academy Dr, Ripley, WV 25271-1157 | 2007-08-15 |
| 1386729127 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 200 Academy Dr, Ripley, WV 25271-1121 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438773 | Road To Recovery, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271 | 2018-05-22 |
| 1003345422 | Patricia Mary Link | Acupuncturist | 2998 Charleston Road, Ste. 5, Ripley, WV 25271 | 2017-06-08 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1134564925 | Kassie Lawless | Pharmacist | Mcgraw & Main Street, Ripley, WV 25271 | 2013-05-07 |
| 1881998896 | Maria Danielle Pecka | Pharmacist | Mcgraw & Main St, Ripley, WV 25271 | 2011-01-05 |
| 1760785190 | Erica B Shelton | Pharmacist | Mcgraw and Main Street, Ripley, WV 25271 | 2010-12-07 |
| 1083736714 | Randy Brooks Smith | Dentist | Rt 1 Box 56, Suite 1, Ripley, WV 25271 | 2007-04-04 |
| 1821123605 | Billie Dawn Toler | Internal Medicine | 619 West Main Street, Ripley, WV 25271 | 2007-02-22 |
| 1962541839 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 1000 New Stone Ridge Road, Ripley, WV 25271 | 2007-02-06 |
| 1619016037 | Brian J Brown | Orthopaedic Surgery | Jackson General Hospital, 122 Pinnell Street, Ripley, WV 25271 | 2007-02-05 |
| Find all providers in zip 25271 | ||||
| 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 |
|---|---|---|---|---|
| 1346567377 | Family Pharmacy of Ripley, Inc | Pharmacy | 194 Pinnell St, Ripley, WV 25271-9101 | 2010-04-30 |
| 1770134611 | Scpg Tennessee LLC | Pharmacy | 251 S Washington St, Ripley, TN 38063-1736 | 2019-09-23 |
| 1588941322 | Freds Stores of Tennessee Inc | Pharmacy | 251 S Washington St, Ripley, TN 38063-1736 | 2011-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| 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.