WAL-MART STORES EAST LP (NPI# 1952329617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952329617 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2140 |
| Practice Address |
46 N South Rd North Conway NH 03860-5122 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6033563170 |
| Enumeration Date | 2006-07-18 |
| 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 |
0579P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30702053 | 05 | |
| PK | 2053514 | 01 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2140 | 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 |
46 N SOUTH RD |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779259 | Kathryn Elizabeth Mcdonald | Pharmacist | 46 N South Rd, North Conway, NH 03860-5122 | 2020-11-01 |
| 1245830355 | Jay Calabro | Pharmacist | 46 N South Rd, North Conway, NH 03860-5122 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| 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 |
|---|---|---|---|---|
| 1477027852 | Premier Pharmacy LLC | Pharmacy | 53 Stiles Rd Ste B102, Salem, NH 03079-2890 | 2019-01-18 |
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1134606379 | Genoa Healthcare, LLC | Pharmacy | 17 93rd St Rm 234, Keene, NH 03431-3989 | 2018-07-20 |
| 1861979015 | Genoa Healthcare, LLC | Pharmacy | 52 W Pleasant St Ste P, Claremont, NH 03743-3055 | 2018-07-20 |
| 1922500701 | Imperial Rx LLC | Pharmacy | 182 Rockingham Rd Unit 2, Londonderry, NH 03053-2155 | 2018-03-07 |
| 1639420029 | Roberts Scarlett Pharmacy Inc | Pharmacy | 276 Newport Rd Ste 109, New London, NH 03257-5468 | 2012-09-25 |
| 1114236684 | Care Pharmacy | Pharmacy | 36 Center St, Wolfeboro Falls, NH 03896-1012 | 2010-10-01 |
| 1265749949 | Apothecary Central LLC | Pharmacy | 43 Allenstown Rd Ste 2, Allenstown, NH 03275-1812 | 2010-09-01 |
| 1205158490 | Warner Pharmacy | Pharmacy | 11 E. Main St, Warner, NH 03278 | 2010-02-16 |
| 1407005150 | Cvs Manchester Nh LLC | Pharmacy | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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.