WAL-MART STORES EAST LP


Address: 845 Palm Bay Rd Ne, West Melbourne, FL 32904-8400
Phone: 3219841612

WAL-MART STORES EAST LP (NPI# 1760409973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760409973
Entity Type Organization
Organization Name WAL-MART STORES EAST LP
Other Organization Name WALMART PHARMACY 10-0974
Practice Address 845 Palm Bay Rd Ne
West Melbourne
FL 32904-8400
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0445
Practice Telephone 3219841612
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

Taxonomy

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
PH15417 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 109448300 05
PK 2007915 01

Other Provider/Organization Names

Other Name Type Code
WALMART PHARMACY 10-0974 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Wal-Mart Stores East LP 702 Sw 8th St, Bentonville, Arkansas 72716-0555

Office Location

Street Address 845 PALM BAY RD NE
City WEST MELBOURNE
State FL
Zip Code 32904-8400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346869906 Heather Mullins Pharmacist 845 Palm Bay Rd Ne, West Melbourne, FL 32904-8400 2020-04-14
1245879923 Julie Le Pharmacist 845 Palm Bay Rd Ne, West Melbourne, FL 32904-8400 2019-12-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063066512 Shepherd's Heart Ministries Counselor 900 S Wickham Rd, Melbourne, FL 32904 2019-08-01
1588138663 Nicholle C Rothengass Physician Assistant 2263 W New Haven Ave # 350, W Melbourne, FL 32904 2019-01-11
1114407020 Natalie Havkin Speech-Language Pathologist 250 S Wickham Rd., Melbourne, FL 32904 2018-08-20
1184119299 Marni B Simon Speech-Language Pathologist 565 Acacia Ave, Melbourne Village, FL 32904 2018-06-30
1821588625 Walden Psychological Services, LLC Psychologist 3400 Willowwood Dr, Melbourne, FL 32904 2018-05-16
1598276271 Donetta Gwin Reynolds Early Intervention Provider Agency 764 Triples Crown Lane, West Melbourne, FL 32904 2017-10-20
1598205221 Marathon Health, LLC General Practice 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 2017-02-28
1366875387 Cancer Center of Melbourne LLC Clinic/Center 415 S. Wickham Rd., Melbourne, FL 32904 2013-08-13
1558704312 Sandra Suzanne Borthwick Social Worker 569 Sylvia Rd, Melbourne, FL 32904 2013-04-11
1396983607 Genesis Skilled Nursing Facility 2653 Reflections Pl, W. Melbourne, FL 32904 2009-01-23
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871583 Florida Community Health Centers, Inc. Pharmacy 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 2020-11-06
1053911883 Nrc Pharmd Inc Pharmacy 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 2020-10-30
1073112116 Hl72 LLC Pharmacy 5193 Clark Rd, Sarasota, FL 34233-3213 2020-10-20
1689280851 Unique Pharmacy Corp Pharmacy 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 2020-09-22
1033723127 Five Pillars Corporation Pharmacy 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 2020-09-04
1780297655 Healthy Living Pharmacy LLC Pharmacy 755 Rosemary Cir, Bradenton, FL 34212-5015 2020-08-28
1326651555 Purformance Wellness Pharmacy LLC Pharmacy 600 Se Indian St Ste 3, Stuart, FL 34997-5540 2020-08-27
1043822620 Specialtycarerx LLC Pharmacy 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 2020-08-17
1831700855 Kingsley Rx LLC Pharmacy 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 2020-08-13
1104435742 Easyscripts LLC Pharmacy 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 2020-07-29
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Competitor

Search similar providers

City WEST MELBOURNE
Zip Code 32904

Improve Information

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Dataset Information

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.

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