WAL-MART STORES EAST LP (NPI# 1932200912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932200912 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY |
Practice Address |
3255 La Highway 1 S Port Allen LA 70767-5858 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
Practice Telephone | 2257497454 |
Practice Fax Number | 2257497418 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2008-07-03 |
Authorized Official Name | RANDY WRIGHT (PHY ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 4792736574 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4788RC | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1269930 | 05 | |
LA | NCPDP NUMBER | 1923110 | 01 |
Other Name | Type Code |
---|---|
Wal-mart Pharmacy | 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 |
3255 LA HIGHWAY 1 S |
City | PORT ALLEN |
State | LA |
Zip Code | 70767-5858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205238185 | Elizabeth Nguyen | Pharmacist | 3255 La Highway 1 S, Port Allen, LA 70767-5858 | 2014-09-22 |
1578964870 | Erika Richard | Pharmacist | 3255 La Highway 1 S, Port Allen, LA 70767-5858 | 2014-09-06 |
1548669732 | Inga Collins | Pharmacist | 3255 La Highway 1 S, Port Allen, LA 70767-5858 | 2014-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
1700400934 | Just Health | Clinic/Center | 3975 Rosedale Rd, Port Allen, LA 70767 | 2020-06-03 |
1770141756 | Tarshea Joy Williams | Licensed Practical Nurse | 2306 Larguier Lane, Port Allen, LA 70767 | 2019-06-04 |
1295264638 | Victoria Williams | Counselor | 6010 Horner Road, Port Allen, LA 70767 | 2017-06-08 |
1588015531 | Advantage Dental Care, Dr. Louis L Mason Dds LLC | Dentist | 260 S. Alexander Ave, Port Allen, LA 70767 | 2016-06-30 |
1184913493 | Joshua Rai Clark | Family Medicine | 4463 La Highway 1 South, Suite A, Port Allen, LA 70767 | 2011-04-07 |
1831386358 | Port City Enterprises, Inc. | Respite Care | 836 N. Seventh St, Port Allen, LA 70767 | 2007-09-28 |
1518153139 | Trinity Behavioral Health of Port Allen | Preferred Provider Organization | 2753 Court Street, Unit C, Port Allen, LA 70767 | 2007-09-18 |
1912198219 | Arnette Scavella | Pediatrics | 3515 Highway 1 South, Port Allen, LA 70767 | 2007-08-05 |
1881814150 | Port City Enterprises, Inc. | Respite Care | 836 N 7th St, Port Allen, LA 70767 | 2007-04-27 |
Find all providers in zip 70767 |
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 |
---|---|---|---|---|
1891888236 | Kar Pharmacy Services, LLC | Pharmacy | 484 Louisiana Ave, Port Allen, LA 70767-2141 | 2006-09-30 |
1538180500 | Port Allen Supermarket Inc | Pharmacy | 220 N Alexander Ave, Port Allen, LA 70767-2514 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
Find all providers with the same taxonomy |
City | PORT ALLEN |
Zip Code | 70767 |
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.