WAL-MART STORES EAST LP (NPI# 1871510016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871510016 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2234 |
| Practice Address |
5815 Rome Taberg Rd Rome NY 13440-1759 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3153387911 |
| 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 |
23335 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1534481 | 05 | |
| PK | 2060999 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-2234 | 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 |
5815 ROME TABERG RD |
| City | ROME |
| State | NY |
| Zip Code | 13440-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048421 | Linda Margaret Kuiken | Hearing Instrument Specialist | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2019-11-20 |
| 1093351694 | Valentina Lashchuk | Technician/Technologist | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2019-11-19 |
| 1407178908 | Kimberly Pomeroy | Pharmacist | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2010-02-24 |
| 1457535221 | Catherine Ellen Wheelock | Pharmacist | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2007-12-28 |
| 1417161639 | Hearing Health LLC | Hearing Aid Equipment | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2007-05-09 |
| 1467566323 | Wal-mart Stores East, Lp | Technician/Technologist | 5815 Rome Taberg Rd, Rome, NY 13440-1759 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1346650769 | Pranay Pharmacy LLC | Pharmacy | 823 Black River Blvd N, Rome, NY 13440-3549 | 2014-05-07 |
| 1205095767 | Ayush Pharmacy Corp | Pharmacy | 827 Black River Blvd N, Rome, NY 13440-3549 | 2008-06-09 |
| 1194887372 | Freds Stores of Tennessee Inc | Pharmacy | 4111 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2006-12-14 |
| 1871681205 | Eckerd Corporation | Pharmacy | Turin Road, Rome, NY 13440 | 2006-10-11 |
| 1598868010 | Georgia Cvs Pharmacy LLC | Pharmacy | 911 Shorter Ave Sw, Rome, GA 30165-4164 | 2006-09-07 |
| 1417962523 | Walgreen Co | Pharmacy | 701 Martha Berry Blvd Nw, Rome, GA 30165-1637 | 2006-07-29 |
| 1831128552 | North Heights Pharmacy Inc | Pharmacy | 411 W 10th St Ne, Rome, GA 30165-2640 | 2006-07-03 |
| 1083088181 | Floyd Healthcare Management, Inc | Pharmacy | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2015-11-30 |
| 1982036836 | Freds Stores of Tennessee Inc | Pharmacy | 1916 Redmond Cir Nw, Rome, GA 30165-1320 | 2013-08-02 |
| 1487741690 | Prescription Center Pharmacy of Rome, Inc. | Pharmacy | 143 N Washington St, Rome, NY 13440-5822 | 2006-10-07 |
| Find all providers in ROME | ||||
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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.