WAL-MART STORES EAST LP (NPI# 1891712113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891712113 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0333 |
| Practice Address |
1701 N Main St Beaver Dam KY 42320-8625 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2702744464 |
| 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 |
PO2492 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 5402855000 | 05 | |
| KY | 5400693700 | 05 | |
| PK | 2031808 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0333 | 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 |
1701 N MAIN ST |
| City | BEAVER DAM |
| State | KY |
| Zip Code | 42320-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154037 | Lisa Robbins Haynes | Pharmacy | 1701 N Main St, Beaver Dam, KY 42320-8625 | 2020-11-02 |
| 1023618410 | Eric Rose | Pharmacist | 1701 N Main St, Beaver Dam, KY 42320-8625 | 2020-10-27 |
| 1730261652 | Wal-mart Stores East, Lp | Technician/Technologist | 1701 N Main St, Beaver Dam, KY 42320-8625 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123198 | Tate Downing | Physical Therapist | 1595 Us Hwy 31 S, Beaver Dam, KY 42320 | 2018-08-13 |
| 1679792196 | Bradford Elrod Mutchler | Preventive Medicine | 1219 N. Main St, Beaver Dam, KY 42320 | 2007-04-24 |
| 1922169259 | Kenneth Dwain Alford | Dentist | 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 | 2006-12-12 |
| 1205909330 | Susan Smith Rice | Nurse Practitioner | 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 | 2006-11-16 |
| 1104929322 | Armand Jules Rigaux | Emergency Medicine | 1219 N. Main St., Beaver Dam, KY 42320 | 2006-09-06 |
| 1326050329 | Jonathan L Shrewsbury | Optometrist | 1303 North Main St., Beaver Dam, KY 42320 | 2006-08-12 |
| 1376583690 | Donald Kevin Gregory | Emergency Medicine | 1213 North Main Street, Beaver Dam, KY 42320 | 2006-06-07 |
| 1982182317 | Bright Futures Behavioral Health | Nurse Practitioner | 1625 N Main St, Beaver Dam, KY 42320 | 2018-07-28 |
| 1669824744 | Aspire Behavioral Therapy, LLC | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2016-07-12 |
| 1457760662 | Wendy Russell | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2014-08-13 |
| Find all providers in zip 42320 | ||||
| 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 |
|---|---|---|---|---|
| 1952335176 | Aurora Pharmacy Inc | Pharmacy | 1645 N Spring St, Beaver Dam, WI 53916-1194 | 2006-07-11 |
| 1477154037 | Lisa Robbins Haynes | Pharmacy | 1701 N Main St, Beaver Dam, KY 42320-8625 | 2020-11-02 |
| 1588036826 | Beaver Dam Hometown Pharmacy LLC | Pharmacy | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 42320 |
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.