WAL-MART STORES EAST LP (NPI# 1821233040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821233040 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5755 |
| Practice Address |
1720 E Little Creek Rd Norfolk VA 23518-4202 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7575885241 |
| Mailing Telephone | 4792771238 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2008-12-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004263 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118187 | 01 |
| Other Name | Type Code |
|---|---|
| WalMart Pharmacy 10-5755 | 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 |
1720 E LITTLE CREEK RD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23518-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284802 | Jovany Gonzalez | Pharmacist | 1720 E Little Creek Rd, Norfolk, VA 23518-4202 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767793 | Warminster Place LLC | Public Health or Welfare | 7020 Old Mill Road, Norfolk, VA 23518 | 2020-10-11 |
| 1265907034 | Kare for All LLC | Home Health Aide | 1216 East Little Rd, Suite 200d, Norfolk, VA 23518 | 2018-10-09 |
| 1962986331 | Trinity Home Health Services, Inc | Home Health | 1301 E. Little Creek Rd #7, Norfolk, VA 23518 | 2018-09-20 |
| 1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
| 1841744752 | Syreeta Chance | Social Worker | 1500 East Little Creek Rd., Norfolk, VA 23518 | 2016-08-09 |
| 1326490004 | Elizabeth Jeanne Polinsky | Social Worker | The Relationship Center, Attn: Elizabeth Polinsky, Lcsw, 4615 Pleasant Ave., Suite B, Norfolk, VA 23518 | 2016-07-06 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1992054217 | Kimberly Ann Dupra | Licensed Practical Nurse | 1354 Elk Avenue, Norfolk, VA 23518 | 2012-08-31 |
| 1689963712 | Sarah Dawn Elaine Penston | Counselor | 8227 Old Ocean View Rd, Norfolk, VA 23518 | 2011-03-29 |
| 1821239690 | Elizabeth Dalton | Student in an Organized Health Care Education/Training Program | 3802 Heutte Dr., Norfolk, VA 23518 | 2009-03-09 |
| Find all providers in zip 23518 | ||||
| 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 |
|---|---|---|---|---|
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1073623609 | Costco Wholesale Corporation | Pharmacy | 850 Glenrock Rd, Norfolk, VA 23502 | 2006-08-30 |
| 1639184682 | Walgreen Co | Pharmacy | 810 W 21st St, Norfolk, VA 23517-1514 | 2006-07-29 |
| 1093720047 | Walgreen Co | Pharmacy | 8609 Tidewater Dr, Norfolk, VA 23503-5415 | 2006-07-29 |
| 1720093776 | Walgreen Co | Pharmacy | 1169 N Military Hwy, Norfolk, VA 23502-2434 | 2006-07-29 |
| 1912912965 | Walgreen Co | Pharmacy | 115 W Little Creek Rd, Norfolk, VA 23505-2512 | 2006-07-29 |
| 1568477511 | Walgreen Co | Pharmacy | 2232 E Little Creek Rd, Norfolk, VA 23518-4221 | 2006-07-29 |
| 1275557860 | Tidewater Diversified, Inc. | Pharmacy | 155 Kingsley Ln Ste 125, Norfolk, VA 23505-4629 | 2006-07-27 |
| Find all providers in NORFOLK | ||||
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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.