WAL-MART STORES EAST LP (NPI# 1912378563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912378563 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-4673 |
| Practice Address |
1810 Shug Jordan Parkway Auburn AL 36832 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3345396317 |
| Practice Fax Number | 3345396316 |
| Mailing Telephone | 4792041258 |
| Enumeration Date | 2015-10-08 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 114575 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 187048 DME | 05 | |
| AL | 1912378563 NPI | 05 | |
| PK | 2155725 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-4673 | 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 |
1810 SHUG JORDAN PARKWAY |
| City | AUBURN |
| State | AL |
| Zip Code | 36832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416203 | Taylor Lane Kellogg | Student in an Organized Health Care Education/Training Program | 2038 Lee Road 137 Lot 310, Auburn, AL 36832 | 2020-01-23 |
| 1093270886 | Jose Antonio Prieto | Specialist/Technologist | 2005 Downs Way, Auburn, AL 36832 | 2019-02-05 |
| 1659846087 | Jason Gilleland | Dietitian, Registered | 258 Tallyho Dr, Auburn, AL 36832 | 2018-10-12 |
| 1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
| 1417308156 | Robert Brooks | Specialist/Technologist | 623 Deer Run Road, Auburn, AL 36832 | 2016-06-23 |
| 1144680612 | Vincent N Jones | Pharmacist | 1810 Shug Jordan Pkwy, Auburn, AL 36832 | 2016-02-26 |
| 1629384847 | Christie Jones | Physical Therapist | 560 Devall Dr, Auburn, AL 36832 | 2010-08-25 |
| 1336215680 | Auburn Spine & Neurosurgery Center, PC | Neurological Surgery | 560 Devall Drive, Suite 301, Auburn, AL 36832 | 2006-11-28 |
| 1902816176 | Catherine Elizabeth Douier-donald | Dentist | 1452 Opelika Rd, Ste E, Auburn, AL 36832 | 2006-08-09 |
| 1841258662 | Richard Ray Cunningham | Family Medicine | 1100 S. College St., Suite 108-c, Auburn, AL 36832 | 2006-05-02 |
| Find all providers in zip 36832 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548507999 | Greater Placer Pharmacy, Inc. | Pharmacy | 3133 Professional Dr Ste 17, Auburn, CA 95603-2463 | 2013-01-04 |
| 1649417692 | Robert H Seiwert | Pharmacy | 1101 Maidu Dr., #200, Auburn, CA 95603 | 2009-01-13 |
| 1538232053 | Kroger Limited Partnership I | Pharmacy | 1005 W 7th St, Auburn, IN 46706-2053 | 2006-11-15 |
| 1922186071 | Leonard Drugs Inc | Pharmacy | 464 N Dean Rd, Auburn, AL 36830-5148 | 2006-11-02 |
| 1801978697 | Allison Pharmacy | Pharmacy | 1118 J St, Auburn, NE 68305-1531 | 2006-10-20 |
| 1508958257 | New England Home Therapies, Inc. | Pharmacy | 49 Omni Cir, Auburn, ME 04210-8310 | 2006-09-29 |
| 1083718050 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 770 E Glenn Ave, Auburn, AL 36830-5017 | 2006-09-12 |
| 1245347962 | Kph Healthcare Services, Inc. | Pharmacy | 187 State St, Auburn, NY 13021-1803 | 2006-08-25 |
| 1194832378 | Kph Healthcare Services, Inc. | Pharmacy | 62 Owasco St, Auburn, NY 13021-4059 | 2006-08-24 |
| 1710992300 | The East Alabama Health Care Authority | Pharmacy | 665 Opelika Rd, Auburn, AL 36830-4013 | 2006-07-30 |
| Find all providers in AUBURN | ||||
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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.