WAL-MART STORES EAST LP (NPI# 1730106956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730106956 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2912 |
| Practice Address |
7555 Telegraph Rd Taylor MI 48180-2239 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3132925014 |
| 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 |
5301007295 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2044789 | 01 | |
| MI | 2361880 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2912 | 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 |
7555 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629068 | Howyda Beydoun | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2020-11-06 |
| 1124682893 | Ali Fardous | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2019-04-27 |
| 1801315619 | Mohamad Issa Aboukhodr | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2017-09-12 |
| 1710330402 | David Knox | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2016-07-18 |
| 1962853440 | Hail Abdullah | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2016-06-27 |
| 1427496488 | Vimal Sureshchandra Patel | Optometrist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2013-06-11 |
| 1255779211 | Professional Eyecare Group, Pllc | Optometrist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2013-06-11 |
| 1558668020 | Krishan Eye Care PC | Optometrist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2011-02-18 |
| 1700969821 | Wal-mart Stores East, Lp | Technician/Technologist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| 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 |
|---|---|---|---|---|
| 1447735220 | Wellness Health Mart LLC | Pharmacy | 11780 Telegraph Rd Ste 110, Taylor, MI 48180-6861 | 2018-09-27 |
| 1437664893 | Maxcare Rx LLC | Pharmacy | 7847 Telegraph Rd, Taylor, MI 48180-2235 | 2017-12-07 |
| 1598039877 | Elite Rx Inc | Pharmacy | 25418 Goddard Rd, Taylor, MI 48180-6200 | 2012-03-03 |
| 1578667374 | Cvs Pharmacy Inc | Pharmacy | 1609 N Main St, Taylor, TX 76574-3008 | 2006-09-12 |
| 1326140617 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22300 Goddard Rd, Taylor, MI 48180-4234 | 2006-09-05 |
| 1235241167 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22000 Ecorse Rd, Taylor, MI 48180-1848 | 2006-08-31 |
| 1194833558 | R & V Drugs, Inc | Pharmacy | 23241 Eureka Rd, Taylor, MI 48180-5240 | 2006-08-27 |
| 1285645580 | True Care Pharmacy Inc | Pharmacy | 21225 Ecorse Rd, Taylor, MI 48180-1834 | 2006-08-11 |
| 1174124846 | Tay Rex LLC | Pharmacy | 27260 Eureka Rd, Taylor, MI 48180-4845 | 2020-11-08 |
| 1932728375 | Samdumu International LLC | Pharmacy | 1001 N Main St, Taylor, TX 76574-3233 | 2020-04-15 |
| Find all providers in TAYLOR | ||||
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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.