WAL-MART STORES EAST LP (NPI# 1750828000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750828000 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WALMART PHARMACY 10-7301 |
Practice Address |
3810 Ne Evangeline Trwy Carencro LA 70520-5966 |
Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
Practice Telephone | 3375203011 |
Practice Fax Number | 3375203011 |
Mailing Telephone | 4792772500 |
Mailing Fax Number | 4792774331 |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-04-04 |
Authorized Official Name | SARAH LITTLE (DIRECTOR, HEALTHCARE CONTRACTING AN) |
Authorized Official Telephone | 4792442500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | PHY.007444-RC | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2168008 | 01 |
Other Name | Type Code |
---|---|
Walmart Pharmacy 10-7301 | 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 |
3810 NE EVANGELINE TRWY |
City | CARENCRO |
State | LA |
Zip Code | 70520-5966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437640554 | Hang Taylor Luong | Pharmacist | 3810 Ne Evangeline Trwy, Carencro, LA 70520-5966 | 2018-05-24 |
1659819092 | Wal-mart Stores Easts, Lp. | Technician/Technologist | 3810 Ne Evangeline Trwy, Carencro, LA 70520-5966 | 2017-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487294740 | Cher Md Clinic LLC | Family Medicine | 4605 N Unveristy Ave, Carencro, LA 70520 | 2020-01-14 |
1912460437 | Bumgardner Family Dental, Apdc | Dentist | 4306 N. University, Carencro, LA 70520 | 2019-04-11 |
1356857684 | Datrian Danielle Malveaux | Case Manager/Care Coordinator | 112 Endicott Dr, Carencro, LA 70520 | 2017-12-22 |
1659739977 | Raven Martin | Counselor | 109 Sunny Oak Trl, Carencro, LA 70520 | 2016-02-01 |
1083083976 | Nicholas John Richards | Dentist | 114 Derek Plaza Ste E, Dentures and Dental Services, Carencro, LA 70520 | 2015-09-21 |
1962870493 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 114 Derek Plaza, Ste E, Carencro, LA 70520 | 2015-09-15 |
1154722353 | Brandy Michelle Skidmore | Social Worker | 601 Teema Rd, Carencro, LA 70520 | 2014-09-08 |
1164768263 | Amy Ann Meneses | Social Worker | 601 Tee Ma Rd., Carencro, LA 70520 | 2012-12-17 |
1891060281 | Claudia Marcua Hall | Counselor | 129 Bradford Dr., Carencro, LA 70520 | 2012-03-19 |
1346496924 | Sharon Louise Wegher | Counselor | 104 Froeba Rd, Carencro, LA 70520 | 2008-08-14 |
Find all providers in zip 70520 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
1982218392 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 2500 Belle Chasse Hwy Ste T1224, Gretna, LA 70056-7127 | 2020-09-02 |
1477162972 | Mercy Medical Health Center | Pharmacy | 4631 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
1962042028 | Southeast Community Health Systems Pharmacy Kentwood | Pharmacy | 734 Avenue G, Kentwood, LA 70444-2602 | 2020-01-07 |
1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
1386204659 | Highrhealth | Pharmacy | 516 N Burnside Ave, Gonzales, LA 70737-2830 | 2019-06-18 |
1265091474 | Medicis LLC | Pharmacy | 1727 Imperial Blvd Bldg 4, Lake Charles, LA 70605-5393 | 2019-06-11 |
1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
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.