WAL-MART STORES EAST LP (NPI# 1740207067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740207067 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0658 |
| Practice Address |
2510 Redmond Cir Nw Rome GA 30165-1913 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7062353699 |
| Enumeration Date | 2006-07-16 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007215 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00437324A | 05 | |
| PK | 2017466 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0658 | 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 |
2510 REDMOND CIR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204582 | Drashti Patel | Pharmacist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2020-11-01 |
| 1972103422 | John Small | Pharmacist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2020-10-26 |
| 1194127530 | Torrey Atchley | Nurse Practitioner | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2014-09-17 |
| 1174930150 | Wal-mart Stores East, Lp | Nurse Practitioner | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2014-07-22 |
| 1073602934 | Wal-mart Stores East, Lp | Technician/Technologist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1346650769 | Pranay Pharmacy LLC | Pharmacy | 823 Black River Blvd N, Rome, NY 13440-3549 | 2014-05-07 |
| 1205095767 | Ayush Pharmacy Corp | Pharmacy | 827 Black River Blvd N, Rome, NY 13440-3549 | 2008-06-09 |
| 1194887372 | Freds Stores of Tennessee Inc | Pharmacy | 4111 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2006-12-14 |
| 1871681205 | Eckerd Corporation | Pharmacy | Turin Road, Rome, NY 13440 | 2006-10-11 |
| 1598868010 | Georgia Cvs Pharmacy LLC | Pharmacy | 911 Shorter Ave Sw, Rome, GA 30165-4164 | 2006-09-07 |
| 1417962523 | Walgreen Co | Pharmacy | 701 Martha Berry Blvd Nw, Rome, GA 30165-1637 | 2006-07-29 |
| 1831128552 | North Heights Pharmacy Inc | Pharmacy | 411 W 10th St Ne, Rome, GA 30165-2640 | 2006-07-03 |
| 1083088181 | Floyd Healthcare Management, Inc | Pharmacy | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2015-11-30 |
| 1982036836 | Freds Stores of Tennessee Inc | Pharmacy | 1916 Redmond Cir Nw, Rome, GA 30165-1320 | 2013-08-02 |
| 1487741690 | Prescription Center Pharmacy of Rome, Inc. | Pharmacy | 143 N Washington St, Rome, NY 13440-5822 | 2006-10-07 |
| Find all providers in ROME | ||||
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| 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.