WAL-MART STORES EAST LP (NPI# 1942227012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942227012 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-1940 |
| Practice Address |
279 Troy Rd Rensselaer NY 12144-9518 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 5182833021 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-09-16 |
| 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 |
023369 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064840 | 01 | |
| NY | 1394852 | 05 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-1940 | 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 |
279 TROY RD |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-9518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021241 | Kristin Marie Cooke | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2005-05-23 |
| 1679184873 | Ali Sadrudin Khoja | Optometrist | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2020-08-11 |
| 1558745091 | Colleen Hickey | Physician Assistant | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2015-07-15 |
| 1386049385 | Mandy Beth Black | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-11-03 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1366787020 | St Peters Health Partners Medical Associates, PC | Radiology | 279 Troy Rd, St. Peter's Medical Imaging, Rensselaer, NY 12144-9521 | 2012-12-06 |
| 1407190044 | Samaritan Hospital of Troy, New York | Psychologist | 279 Troy Rd, Rensselaer, NY 12144-9756 | 2012-11-20 |
| 1700131604 | Prime Care Physicians, Pllc | Radiology | 279 Troy Rd, Route 4, Rensselaer, NY 12144-9499 | 2012-07-17 |
| 1649541152 | Community Care Physicians, PC | Obstetrics & Gynecology | 279 Troy Rd, Rensselaer County Plaza, Rensselaer, NY 12144-9499 | 2012-01-16 |
| 1740593094 | Gaetano Matthew Cristalli | Family Medicine | 279 Troy Rd, Family Medical Group, Rensselaer, NY 12144-9518 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| 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 |
|---|---|---|---|---|
| 1841714110 | Walgreen Co | Pharmacy | 305 Columbia St, Rensselaer, NY 12144-2920 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
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.