WAL-MART STORES EAST LP (NPI# 1750308060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750308060 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-1341 |
| Practice Address |
335 S Red Bank Rd Evansville IN 47712-4745 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8124261679 |
| 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 |
60005052A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2026956 | 01 | |
| IN | 100302020 | 05 | |
| IN | 100302020A | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-1341 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
335 S RED BANK RD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47712-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073896 | Mallory Nichole Vanwynsberghe | Pharmacist | 335 S Red Bank Rd, Evansville, IN 47712-4745 | 2020-11-04 |
| 1043811433 | Sarah Fischer | Pharmacist | 335 S Red Bank Rd, Evansville, IN 47712-4745 | 2020-11-03 |
| 1760564918 | Wal-mart Stores East, Lp | Technician/Technologist | 335 S Red Bank Rd, Evansville, IN 47712-4745 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
| 1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
| 1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
| 1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
| 1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
| 1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| Find all providers in zip 47712 | ||||
| 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 |
|---|---|---|---|---|
| 1760570030 | Pauls Pharmacy Inc | Pharmacy | 1225 Washington Sq, Evansville, IN 47715-6807 | 2006-10-11 |
| 1437252954 | Hook Superx LLC | Pharmacy | 801 N 1st Ave, Evansville, IN 47710-1937 | 2006-09-07 |
| 1760585434 | Hook Superx LLC | Pharmacy | 4480 N 1st Ave, Evansville, IN 47710-3622 | 2006-09-07 |
| 1346343860 | Hook Superx LLC | Pharmacy | 5120 Weston Rd, Evansville, IN 47712-3702 | 2006-09-07 |
| 1841393576 | Hook Superx LLC | Pharmacy | 2344 Covert Ave, Evansville, IN 47714-3814 | 2006-09-07 |
| 1447353966 | Hook Superx LLC | Pharmacy | 4700 Lincoln Ave, Evansville, IN 47714-0658 | 2006-09-07 |
| 1669575379 | Hook Superx LLC | Pharmacy | 2020 E Morgan Ave, Evansville, IN 47711-4310 | 2006-09-07 |
| 1538262050 | Hook Superx LLC | Pharmacy | 1145 Washington Ave, Evansville, IN 47714-1845 | 2006-09-07 |
| 1851494520 | Hook Superx LLC | Pharmacy | 609 N Saint Joseph Ave, Evansville, IN 47712-5554 | 2006-09-07 |
| 1770598807 | Walgreen Co | Pharmacy | 2015 Covert Ave, Evansville, IN 47714-3707 | 2006-07-29 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47712 |
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.