WAL-MART STORES EAST LP (NPI# 1861419251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861419251 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2091 |
| Practice Address |
8651 Nw 13th Ter Doral FL 33126-1512 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3054704530 |
| 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 |
PH15393 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2012645 | 01 | |
| FL | 102809000 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2091 | 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 |
8651 NW 13TH TER |
| City | DORAL |
| State | FL |
| Zip Code | 33126-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427012 | George Louis De Marchena | Pharmacist | 8651 Nw 13th Ter, Doral, FL 33126-1512 | 2020-11-06 |
| 1962644526 | Annisha Ali | Optometrist | 8651 Nw 13th Ter, Doral, FL 33126-1512 | 2009-03-28 |
| 1194962126 | Miriam Mendivil | Optometrist | 8651 Nw 13th Ter, Doral, FL 33126-1512 | 2009-01-13 |
| 1396911038 | Yolanda Bogarin | Optometrist | 8651 Nw 13th Ter, Doral, FL 33126-1512 | 2008-05-02 |
| 1508959768 | Wal-mart Stores East, Lp | Technician/Technologist | 8651 Nw 13th Ter, Doral, FL 33126-1512 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| 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 |
|---|---|---|---|---|
| 1003389768 | Mimed Pharmacy, LLC | Pharmacy | 7758 Nw 46th St, Doral, FL 33166-5460 | 2019-01-05 |
| 1548669120 | Fords Pharmacy | Pharmacy | 8280 Nw 27th St Ste 503, Doral, FL 33122-1905 | 2014-08-19 |
| 1366851529 | Chronic Care Pharmaceutical Services, LLC | Pharmacy | 1725 Nw 79th Ave, Doral, FL 33126-1112 | 2014-08-12 |
| 1902167125 | Alhambra Pharmacy Inc | Pharmacy | 4815 Nw 79th Ave Ste 1, Doral, FL 33166-5437 | 2012-06-05 |
| 1063550325 | Pal Laboratories Inc. | Pharmacy | 10655 Nw 29th Ter, Doral, FL 33172-2197 | 2007-02-01 |
| 1730261033 | Prestab Co | Pharmacy | 3016 Nw 79th Ave, Doral, FL 33122-1010 | 2006-10-19 |
| 1295827301 | Ultima Rx LLC | Pharmacy | 3900 Nw 79th Avenue, Suite 216, Doral, FL 33166 | 2006-09-28 |
| 1881798858 | Holiday Cvs LLC | Pharmacy | 10701 Nw 41st St, Doral, FL 33178-1867 | 2006-09-12 |
| 1033124425 | Leomeli Investments Corp | Pharmacy | 5211 Nw 79th Ave, Doral, FL 33166-4715 | 2006-07-31 |
| 1851338230 | Hci Specialty Pharmacy, LLC | Pharmacy | 8320 Nw 30th Ter, Doral, FL 33122-1915 | 2006-06-02 |
| Find all providers in DORAL | ||||
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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.