WAL-MART STORES EAST LP (NPI# 1861419095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861419095 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2674 |
| Practice Address |
45 Williamson Rd Greenville PA 16125-1253 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 7245890227 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-16 |
| 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 |
PP415571L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007455310126 | 05 | |
| PK | 2084752 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2674 | 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 |
45 WILLIAMSON RD |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739699 | Erin Jenkins | Pharmacist | 45 Williamson Rd, Greenville, PA 16125-1253 | 2020-10-27 |
| 1699324400 | Jason Hull Od LLC | Optometrist | 45 Williamson Rd, Greenville, PA 16125-1253 | 2019-09-05 |
| 1639492689 | Melanie I Russell | Pharmacist | 45 Williamson Rd, Greenville, PA 16125-1253 | 2010-03-04 |
| 1811210099 | Joni Nicastro | Pharmacist | 45 Williamson Rd, Greenville, PA 16125-1253 | 2010-03-02 |
| 1104908680 | Wal-mart Stores East, Lp | Technician/Technologist | 45 Williamson Rd, Greenville, PA 16125-1253 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| 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 |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1912539818 | Greenville Pharmacy LLC | Pharmacy | 4209 Wesley St, Greenville, TX 75401-5637 | 2020-02-08 |
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1982173126 | Levee Drugs Inc | Pharmacy | 202 E Starling St # 1, Greenville, MS 38701-4707 | 2018-11-16 |
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1184127102 | Snyder Partners, LLC | Pharmacy | 4000 Wesley St Ste G, Greenville, TX 75401-9015 | 2018-03-15 |
| 1508382839 | Mrvm LLC | Pharmacy | 1701 Augusta St, Greenville, SC 29605-2925 | 2017-08-18 |
| 1992228902 | Walgreen Co | Pharmacy | 2616 Anderson Rd, Greenville, SC 29611-6020 | 2017-07-21 |
| 1659739118 | Meiya LLC | Pharmacy | 543 Haywood Rd Ste 4, Greenville, SC 29607-2710 | 2016-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
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.