WAL-MART STORES EAST LP (NPI# 1952859274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952859274 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-5059 |
| Practice Address |
3110 Canton St. Hopkinsville KY 42240-1316 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 2709624120 |
| Practice Fax Number | 2709624119 |
| Mailing Telephone | (479) 204-8550 |
| Mailing Fax Number | 4792048550 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2017-10-04 |
| 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 | P07777 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164182 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-5059 | 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 |
3110 CANTON ST. |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| 1275548802 | Tombert Inc | Pharmacy | 815 Country Club Ln, Hopkinsville, KY 42240-1346 | 2006-07-30 |
| 1487670337 | Roho Enterprises Inc | Pharmacy | 2412 Fort Campbell Blvd, Hopkinsville, KY 42240-4669 | 2006-07-14 |
| 1821020868 | Freds Stores of Tennessee Inc | Pharmacy | 3129 Canton Pike Indian Hills S/c, Hopkinsville, KY 42240 | 2006-07-07 |
| 1669969028 | Regis Healthcare Inc. | Pharmacy | 2208 Fort Campbell Blvd, Hopkinsville, KY 42240-4665 | 2018-04-20 |
| 1598708836 | Jennie Stuart Medical Center | Pharmacy | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1730618901 | Pike Pharmacist Group, LLC | Pharmacy | 137 N. Levisa Rd, Mouthcard, KY 41548 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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.