WAL-MART STORES EAST LP (NPI# 1780601021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780601021 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0845 |
| Practice Address |
1250 W Dallas St Buffalo MO 65622-5403 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4173456107 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-20 |
| 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 |
2002009448 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 602177008 | 05 | |
| PK | 2050645 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0845 | 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 |
1250 W DALLAS ST |
| City | BUFFALO |
| State | MO |
| Zip Code | 65622-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822217 | Leanne Boggs | Counselor | 1336 S Ash St., Suite 102, Buffalo, MO 65622 | 2012-08-29 |
| 1457589293 | Benson Thomas Pyatt | Dentist | 1006 South Ash, Buffalo, MO 65622 | 2009-07-01 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1275750879 | Community Clinic of Buffalo LLC | Clinic/Center | 1228 W Truman, Buffalo, MO 65622 | 2007-04-18 |
| 1790887156 | Ed G Pyatt | Dentist | 1006 S Ash, Buffalo, MO 65622 | 2006-09-05 |
| 1497864136 | Christopher L Dugas | Chiropractor | 701 N Maple St, Buffalo, MO 65622 | 2006-08-29 |
| 1598019564 | Ashley Justine Perkins | Physical Therapist | 631 W Main St, Buffalo, MO 65622 | 2012-10-30 |
| 1790032332 | Sara E Hertzke-hill | Physician Assistant | 201 S Ash St, Buffalo, MO 65622 | 2012-08-14 |
| 1629103502 | Mercy Clinic-springfield Communities | Family Medicine | 118 W Dallas St, Buffalo, MO 65622 | 2007-02-22 |
| 1386789972 | Dallas County Health Department | Public Health or Welfare | 1011 W Main, Buffalo, MO 65622-0199 | 2007-02-21 |
| Find all providers in zip 65622 | ||||
| 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] |
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| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| 1710535216 | Spamony20 LLC | Pharmacy | 150 E Hart St, Buffalo, WY 82834-1705 | 2019-08-28 |
| 1548825482 | Jericho Road Ministries, Inc. | Pharmacy | 1021 Broadway Street, Buffalo, NY 14212-1460 | 2019-05-07 |
| 1548646318 | Vascuscript | Pharmacy | 644 Ellicott St Ste 104, Mobile Pharmacy Solutions, Buffalo, NY 14203-1221 | 2015-08-04 |
| 1588947709 | Walgreen Co | Pharmacy | 1002 Highway 25 N, Buffalo, MN 55313-1920 | 2011-09-23 |
| 1346439924 | Seneca Pharmacy of Wny Inc | Pharmacy | 1979 Seneca St, Buffalo, NY 14210-2352 | 2007-10-18 |
| 1326111642 | Family Pharmaceutical Services, LLC | Pharmacy | 1001 Main St Fl 2, Buffalo, NY 14203-1009 | 2006-11-16 |
| 1730264946 | Parkside Pharmacy Inc | Pharmacy | 975 Broadway St, Buffalo, NY 14212-1317 | 2006-10-26 |
| 1174617658 | Allscript Pharmacy,inc. | Pharmacy | 173 High Street, Buffalo, NY 14204 | 2006-10-02 |
| 1720187073 | Eckerd Corporation | Pharmacy | 202 W Utica St, Buffalo, NY 14222-2020 | 2006-09-22 |
| Find all providers in BUFFALO | ||||
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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.