WAL-MART STORES EAST LP (NPI# 1962429282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962429282 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-0573 |
| Practice Address |
1000 Ne Sam Walton Ln Lees Summit MO 64086-8426 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 8165252750 |
| Enumeration Date | 2006-07-16 |
| 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 |
2002009469 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 601371685 | 05 | |
| PK | 2050413 | 01 |
| Other Name | Type Code |
|---|---|
| WALMART PHARMACY 10-0573 | 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 |
1000 NE SAM WALTON LN |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417338 | Shaun Sousley | Pharmacist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2020-11-03 |
| 1518568856 | Maria Rita Cumberford | Pharmacist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2020-11-03 |
| 1326648593 | Michelle Lea Arnold | Pharmacist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2020-10-27 |
| 1932673332 | Jared Andrew Wann | Pharmacist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2019-01-18 |
| 1033588066 | Mannie Trujillo | Pharmacist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2015-09-21 |
| 1366569709 | Kevin D Atwood | Optometrist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2007-03-22 |
| 1033283320 | Jim Bush | Hearing Instrument Specialist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2006-11-20 |
| 1376616516 | Missouri Hearing Associate LLC | Audiologist-Hearing Aid Fitter | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2006-11-16 |
| 1700897519 | Wal-mart Stores East, Lp | Technician/Technologist | 1000 Ne Sam Walton Ln, Lees Summit, MO 64086-8426 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| 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 |
|---|---|---|---|---|
| 1265945216 | Ivna Pharmacy Services LLC | Pharmacy | 1741 Ne Douglas St Ste 102, Lees Summit, MO 64086-4704 | 2017-11-13 |
| 1154754273 | Walgreen Co | Pharmacy | 901 Sw State Route 150, Lees Summit, MO 64082-4410 | 2013-08-13 |
| 1396845731 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 621 Sw 3rd St, Lees Summit, MO 64063-2212 | 2006-09-25 |
| 1164466538 | Missouri Cvs Pharmacy LLC | Pharmacy | 1900 E Langsford Rd, Lees Summit, MO 64063-3600 | 2006-06-16 |
| 1629019526 | Missouri Cvs Pharmacy LLC | Pharmacy | 751 Ne Woods Chapel Rd, Lees Summit, MO 64064-1993 | 2006-06-10 |
| 1205453776 | Lee's Summit Rx Corporation | Pharmacy | 1198 Ne Douglas St, Lees Summit, MO 64086-4602 | 2020-07-01 |
| 1164975991 | Flatland Pharmacy LLC | Pharmacy | 202 Nw Oldham Pkwy, Lees Summit, MO 64081-1520 | 2016-07-28 |
| 1417245192 | University of Kansas Hospital Authority | Pharmacy | 4881 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2011-07-15 |
| 1114220399 | Saint Lukes East Hospital | Pharmacy | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2010-12-10 |
| 1063423572 | Kansas City Cancer Centers East | Pharmacy | 4881 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2006-08-10 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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.