WAL-MART STORES EAST LP (NPI# 1770500076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770500076 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5299 |
| Practice Address |
550 Us Highway 27 Clermont FL 34714-8908 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3525362730 |
| Practice Fax Number | 4792774331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-07-19 |
| 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 |
PH20917 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 212559500 | 05 | |
| PK | 2009045 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5299 | 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 |
550 US HIGHWAY 27 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34714-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395141 | Alyssa Martinez-harter | Pharmacist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2020-10-27 |
| 1497200315 | Chantel Grubbs | Pharmacist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2016-08-20 |
| 1336519966 | Safira Health Inc. | Clinic/Center | 550 Us Highway 27, Clermont, FL 34714-8908 | 2015-09-24 |
| 1356725592 | Erica Nicole Nieves | Optometrist | 550 Us Highway 27, Clermont, FL 34714 | 2015-07-17 |
| 1447691829 | Christopher Michael Gnecco | Pharmacist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2013-07-12 |
| 1770809683 | M.h. Vision Services, Inc. | Optometrist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2010-04-16 |
| 1295894533 | Mark A. Hegetschweiler | Optometrist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2006-12-06 |
| 1487746152 | Wal-mart Stores East, Lp | Technician/Technologist | 550 Us Highway 27, Clermont, FL 34714-8908 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017515 | Fresenius Medical Care Four Corners, LLC | Clinic/Center | 503 Cagan View Rd, Ste 300, Clermont, FL 34714 | 2019-01-23 |
| 1255803771 | Natalia M Soto- Robles | Case Manager/Care Coordinator | 2624 Duncan Trail, Kissimmee, FL 34714 | 2018-12-21 |
| 1487145249 | Arelis Negron | Early Intervention Provider Agency | 4408 Blue Mesa Ct., Clermont, FL 34714 | 2018-05-28 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1356879100 | Jacquelyn Giglio | Speech-Language Pathologist | 1050 Highway 27 Suite 9, Clermont, FL 34714 | 2017-05-24 |
| 1518367192 | Michael Edward Gilman | Clinic/Center | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2014-09-02 |
| 1255776175 | Yeimi Larios | Occupational Therapy Assistant | 2938 State Road 33, Clermont, FL 34714 | 2013-05-06 |
| 1598979122 | Carla Talavera-jordan D.m.d., P.a. | Dentist | 533 Cagan Park Ave, Suite 307, Clermont, FL 34714 | 2007-05-10 |
| 1346467339 | Doris Cruz | Dentist | 1100 Us Highway 27, Suite D, Clermont, FL 34714 | 2007-04-19 |
| 1003816570 | Ntc Urgent Care Centers,llc | Clinic/Center | 1503 Sunrise Plaza Drive, Clermont, FL 34714 | 2005-07-27 |
| Find all providers in zip 34714 | ||||
| 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 |
|---|---|---|---|---|
| 1093338865 | Dwarkadhish LLC | Pharmacy | 2761 Citrus Tower Blvd Ste 102, Clermont, FL 34711-7010 | 2020-05-27 |
| 1619071594 | Holiday Cvs LLC | Pharmacy | 1640 Us Highway 27, Clermont, FL 34714-5890 | 2006-09-12 |
| 1376559757 | Walgreen Co | Pharmacy | 4400 S Hwy 27, Clermont, FL 34711-5383 | 2006-07-31 |
| 1659816007 | Choice Meds Usa, Inc. | Pharmacy | 265 W Highway 50, Clermont, FL 34711-3027 | 2016-12-21 |
| 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 |
| 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.