WAL-MART STORES EAST LP (NPI# 1891712071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891712071 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1443 |
| Practice Address |
4370 Eastgate Square Dr Cincinnati OH 45245-4502 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5137533370 |
| Enumeration Date | 2006-07-16 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
020617100 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2071666 | 01 | |
| OH | 782130 | 05 | |
| OH | 0782130 | 05 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-1443 | 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 |
4370 EASTGATE SQUARE DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188781 | Marissa Gutierrez Kitajima | Pharmacist | 4370 Eastgate Square Dr, Cincinnati, OH 45245-4502 | 2019-08-02 |
| 1790231876 | Emmanuel Mensah | Pharmacist | 4370 Eastgate Square Dr, Cincinnati, OH 45245-4502 | 2016-08-29 |
| 1265886584 | Anita Mcdonald | Pharmacist | 4370 Eastgate Square Dr, Cincinnati, OH 45245-4502 | 2016-04-22 |
| 1215393798 | Dr Victor R Rigacci, Od, Psc | Optometrist | 4370 Eastgate Square Dr, Cincinnati, OH 45245-4502 | 2016-01-13 |
| 1770593840 | Wal-mart Stores East, Lp | Technician/Technologist | 4370 Eastgate Square Dr, Cincinnati, OH 45245-4502 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| 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 |
|---|---|---|---|---|
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1346884244 | Mercy Health Cincinnati LLC | Pharmacy | 601 Ivy Gtwy, Cincinnati, OH 45245-1898 | 2019-11-04 |
| 1417496621 | Prohealth Drugs LLC | Pharmacy | 5045 Crookshank Rd Ste 100, Cincinnati, OH 45238-3301 | 2017-02-21 |
| 1508226077 | St Vincent De Paul Community Pharmacy of Cincinnati | Pharmacy | 3015 Glenhills Way, Cincinnati, OH 45238-3448 | 2016-02-26 |
| 1710257902 | Clarks Rx LLC | Pharmacy | 9749 Montgomery Rd, Cincinnati, OH 45242-7207 | 2012-01-05 |
| 1730215799 | University of Cincinnati Physicians Company LLC | Pharmacy | 2751 O Varisty Way, Room #335-a, Cincinnati, OH 45221-0010 | 2007-02-26 |
| 1962542373 | Deer Park Pharmacy | Pharmacy | 4075 E Galbraith Rd, Cincinnati, OH 45236-2323 | 2007-02-07 |
| 1487715470 | Tischbein Pharmacy | Pharmacy | 3500 Erie Ave, Cincinnati, OH 45208-1717 | 2006-12-13 |
| 1255436929 | Rohe Pharmacy Inc. | Pharmacy | 4047 Harrison Ave, Cincinnati, OH 45211-4639 | 2006-09-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45245 |
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.