WAL-MART STORES EAST LP (NPI# 1821016304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821016304 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5261 |
| Practice Address |
100 Commercial Ln Pineville MO 64856-7069 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4172265811 |
| Enumeration Date | 2006-07-17 |
| 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 |
2004035443 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2049054 | 01 | |
| MO | 606171700 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-5261 | 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 |
|---|---|---|
| New York State Retail Food Store | WAL-MART STORES EAST LP | 1400 COUNTY RD 64 HORSEHEADS NY 14845 |
| Street Address |
100 COMMERCIAL LN |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856-7069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224578 | Rachael Gabriela Mccann | Pharmacist | 100 Commercial Ln, Pineville, MO 64856-7069 | 2020-10-27 |
| 1124628698 | Tony Hieu Nguyen | Pharmacist | 100 Commercial Ln, Pineville, MO 64856-7069 | 2020-10-26 |
| 1811205099 | Cathy Edwards O.d. LLC | Optometrist | 100 Commercial Ln, Pineville, MO 64856-7069 | 2010-09-21 |
| 1366627697 | Cathy Lynn Edwards | Optometrist | 100 Commercial Ln, Pineville, MO 64856-7069 | 2008-01-06 |
| 1639365372 | Gary D. Neymeyer, O.d., P.C. | Optometrist | 100 Commercial Ln, Pineville, MO 64856-7069 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1790811784 | Lifestyle Wellness Center, LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2007-02-26 |
| 1093715740 | Judith G Lewallen | Nurse Practitioner | 100 Jessie James Blvd, Pineville, MO 64856 | 2005-07-22 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1780859272 | Lifestyle Wellness Center LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2008-04-25 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1548271265 | Wal-mart Stores East Lp | Technician/Technologist | 100 Commercial Dr, Pineville, MO 64856 | 2006-08-10 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| Find all providers in zip 64856 | ||||
| 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 |
|---|---|---|---|---|
| 1366900276 | Pineville Pharmacy | Pharmacy | 311 S Polk St Ste 80, Pineville, NC 28134-8631 | 2019-03-10 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
| 1164789301 | Csam Enterprises, LLC | Pharmacy | 2971 Highway 28 E, Pineville, LA 71360-5716 | 2012-04-12 |
| 1902177389 | Freds Stores of Tennessee Inc | Pharmacy | 4628 Highway 28 E, Pineville, LA 71360-7733 | 2012-01-18 |
| 1144236647 | Walgreen Co | Pharmacy | 3100 Highway 28 E, Pineville, LA 71360-5702 | 2006-08-01 |
| 1881609063 | Walgreen Co | Pharmacy | 3400 Military Hwy, Pineville, LA 71360-4230 | 2006-07-29 |
| 1679116446 | Tjak Group LLC | Pharmacy | 114 N Pine St, Pineville, KY 40977-1647 | 2019-10-23 |
| 1982253613 | Bella Lasley LLC | Pharmacy | 308 S Pine St, Pineville, KY 40977-1735 | 2019-09-05 |
| 1043879885 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| Find all providers in PINEVILLE | ||||
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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.