WAL-MART STORES EAST LP (NPI# 1740207901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740207901 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0638 |
| Practice Address |
165 Walton Dr Gaffney SC 29341-1268 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8644898704 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2538 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2090187 | 01 | |
| SC | 725380 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0638 | 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 |
165 WALTON DR |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636744 | Joseph Michael Dipasqua | Optometrist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2005-08-21 |
| 1558968016 | Marina Saber Dawoud | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2020-10-07 |
| 1881215267 | Reginald Maurice Means II | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2020-04-27 |
| 1336603125 | Steven M Bower | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2019-01-25 |
| 1013337385 | Celita Audrett Moore | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2014-04-24 |
| 1518387877 | Angela Carolina Moss | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2014-04-24 |
| 1316367782 | Kathy Bolt Campbell | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2014-04-23 |
| 1619397080 | Margaret E Smith | Pharmacist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2014-04-23 |
| 1114213584 | Piedmont Family Eyecare | Optometrist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2011-06-23 |
| 1790866184 | Wal-mart Stores East, Lp | Technician/Technologist | 165 Walton Dr, Gaffney, SC 29341-1268 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| 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 |
|---|---|---|---|---|
| 1881615854 | Buford St Drug Store | Pharmacy | 113 W Buford St, Gaffney, SC 29340-3001 | 2006-07-22 |
| 1811476005 | Regenesis Organization Community Health Center | Pharmacy | 1341 N Limestone St, Gaffney, SC 29340-4733 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| 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.