WAL-MART STORES EAST LP (NPI# 1891713210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891713210 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0394 |
| Practice Address |
15445 Al Highway 24 Moulton AL 35650-6602 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 2569741597 |
| Enumeration Date | 2006-07-17 |
| 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 |
110531 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100003367 | 05 | |
| AL | 1891713210 DME | 05 | |
| PK | 1993494 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0394 | 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 |
15445 AL HIGHWAY 24 |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816995 | Michelle Burleson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2018-10-10 |
| 1740702851 | Sandra Willingham Biddle | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-07-10 |
| 1164943288 | Angela Renae Simpson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-28 |
| 1396265955 | Tracy Halbrooks | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-26 |
| 1356427553 | Wal-mart Stores East, Lp | Technician/Technologist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| 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 |
|---|---|---|---|---|
| 1235232976 | Alabama Cvs Pharmacy, L. L.c. | Pharmacy | 11648 Al Highway 157, Moulton, AL 35650-1382 | 2006-09-07 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1699140897 | Thrasher Drugs Inc | Pharmacy | 15190 Court St, Suite A, Moulton, AL 35650-1427 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 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.