WAL-MART STORES EAST LP (NPI# 1811277072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811277072 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-4514 |
| Practice Address |
201 Maranto Manor Dr Winchester VA 22602-4807 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 5408685109 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2017-02-15 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004429 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131610 | 01 | |
| VA | 1811277072 | 05 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-4514 | 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 |
201 MARANTO MANOR DR |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699315 | Samantha Elizabeth Erickson | Pharmacist | 201 Maranto Manor Dr, Winchester, VA 22602-4807 | 2020-11-03 |
| 1871194480 | Tammy Lee Brown | Pharmacist | 201 Maranto Manor Dr, Winchester, VA 22602-4807 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1114399243 | Guardianlight of Northwestern Va Incorporated | Home Health | 3343 Valley Ave, Unit # 700, Winchester, VA 22602 | 2015-10-28 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| Find all providers in zip 22602 | ||||
| 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 |
|---|---|---|---|---|
| 1790320018 | Hometown Pharmacy of Winchester, Pllc | Pharmacy | 200 Codella Dr Ste C, Winchester, KY 40391-7101 | 2019-11-11 |
| 1396252375 | Claudia Firestone Stiebel | Pharmacy | 1110 Breckinridge Ln, Winchester, VA 22601-6709 | 2017-12-29 |
| 1912421272 | Corner Drug LLC | Pharmacy | 4 N Highland St Ste B, Winchester, KY 40391-2024 | 2017-07-28 |
| 1316047624 | Garfield Beach Cvs LLC | Pharmacy | 30736 Benton Rd, Winchester, CA 92596 | 2006-09-25 |
| 1144329442 | Cvs Pharmacy Inc | Pharmacy | 539 Main St # 545, Winchester, MA 01890-2914 | 2006-09-22 |
| 1073616702 | Virginia Cvs Pharmacy L L C | Pharmacy | 2207 Valley Ave, Winchester, VA 22601-2755 | 2006-09-07 |
| 1336242858 | Virginia Cvs Pharmacy LLC | Pharmacy | 840 Berryville Ave, Winchester, VA 22601-5914 | 2006-09-07 |
| 1336242080 | Virginia Cvs Pharmacy L L C | Pharmacy | 1379 N Frederick Pike, Winchester, VA 22603-8693 | 2006-09-07 |
| 1790895324 | Costco Wholesale Corporation | Pharmacy | 251 Front Royal Pike, Winchester, VA 22602-7319 | 2006-08-30 |
| 1053335638 | Gaunts Drug Store | Pharmacy | 1 Valley Ave., Winchester, VA 22601 | 2006-07-27 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
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.