WAL-MART STORES EAST LP (NPI# 1891712949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891712949 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0868 |
| Practice Address |
2401 S Canal St Carlsbad NM 88220-6523 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5758851029 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001963 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2057643 | 01 | |
| NM | 64626 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0868 | 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 |
2401 S CANAL ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293736 | Hajara Namiiro Kizito | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2019-09-09 |
| 1922583749 | Breanne Crawford | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2018-09-27 |
| 1417494931 | Changmin Park | Pharmacist | 2401 S Canal St, Pharmacy, Carlsbad, NM 88220-6523 | 2017-01-23 |
| 1235582248 | Paula Pope | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2016-07-14 |
| 1932587540 | Brenda Chavez | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2015-05-14 |
| 1568864593 | Bryan Hardee | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2014-09-22 |
| 1801205000 | John Landolt | Pharmacist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2014-08-13 |
| 1356423834 | Wal-mart Stores East, Lp | Technician/Technologist | 2401 S Canal St, Carlsbad, NM 88220-6523 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| 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 |
|---|---|---|---|---|
| 1780966507 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 6985 El Camino Real, A103, Carlsbad, CA 92009-4148 | 2011-09-19 |
| 1477703825 | A1c Rx Inc | Pharmacy | 3125 Tiger Run Ct, Ste B107, Carlsbad, CA 92010-6649 | 2008-09-23 |
| 1063540821 | El Camino Pharmacy | Pharmacy | 1005 Carlsbad Village Dr Ste D2, Carlsbad, CA 92008-1883 | 2007-03-01 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1699711309 | Ams Enterprises LLC | Pharmacy | 1301 S Canal, Carlsbad, NM 88220 | 2006-06-21 |
| 1366487266 | Garfield Beach Cvs LLC | Pharmacy | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2006-06-17 |
| 1598706400 | Garfield Beach Cvs LLC | Pharmacy | 7740 Rancho Santa Fe Rd, Carlsbad, CA 92009-8685 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1790384261 | Mt. Cristo Pharmacy LLC | Pharmacy | 1155 Mcnutt Rd Ste 110, Sunland Park, NM 88063-9175 | 2020-10-25 |
| 1497362214 | Farmers Pharmacy Market LLC | Pharmacy | 501 W 18th St # 7233, Portales, NM 88130-7233 | 2020-09-25 |
| 1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1730677576 | Allan Yeh | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-04-26 |
| 1912425109 | Bestcare Pharmacy Deming | Pharmacy | 812 E Florida St, Deming, NM 88030-5312 | 2017-09-07 |
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 1457877425 | Dorado Sf Ltd | Pharmacy | 7 Caliente Rd, Santa Fe, NM 87508-3102 | 2017-08-21 |
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| Find all providers with the same taxonomy | ||||
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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.