WAL-MART STORES EAST LP (NPI# 1992722094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992722094 |
Entity Type | Organization |
Organization Name | WAL-MART STORES EAST LP |
Other Organization Name | WAL-MART PHARMACY 10-2038 |
Practice Address |
45415 Dulles Crossing Plz Sterling VA 20166-8921 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 5714349409 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-02-15 |
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 |
0201003178 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 008500690 | 05 | |
VA | 8500690 | 05 | |
PK | 2106197 | 01 |
Other Name | Type Code |
---|---|
WAL-MART PHARMACY 10-2038 | 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 |
45415 DULLES CROSSING PLZ |
City | STERLING |
State | VA |
Zip Code | 20166-8921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770498 | Eunyoung Park | Pharmacist | 45415 Dulles Crossing Plz, Sterling, VA 20166-8921 | 2020-11-06 |
1467052498 | Van T Tran | Pharmacist | 45415 Dulles Crossing Plz, Sterling, VA 20166-8921 | 2020-10-28 |
1619051208 | Wal-mart Stores East, Lp | Technician/Technologist | 45415 Dulles Crossing Plz, Sterling, VA 20166-8921 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
Find all providers in zip 20166 |
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 |
---|---|---|---|---|
1720456718 | Loudoun Pharmacy | Pharmacy | 23590 Overland Dr Ste 130, Sterling, VA 20166-4442 | 2015-09-08 |
1699109496 | Kmart Stores of Il LLC 3105 | Pharmacy | 2901 E Lincolnway, Sterling, IL 61081-1780 | 2013-08-28 |
1184832784 | Virginia Cvs Pharmacy LLC | Pharmacy | 45130 Columbia Pl, Sterling, VA 20166-2500 | 2007-05-18 |
1346350972 | Costco Wholesale Corporation | Pharmacy | 21398 Price Cascades Plz, Sterling, VA 20164 | 2006-08-30 |
1073535753 | Virginia Cvs Pharmacy LLC | Pharmacy | 46201 Potomac Run Plz, Sterling, VA 20164-6609 | 2006-07-24 |
1972545168 | Highland Park Cvs LLC | Pharmacy | 2301 N Locust St, Sterling, IL 61081-1219 | 2006-06-12 |
1902324353 | Walgreen Co | Pharmacy | 46965 Cedar Lake Plz, Sterling, VA 20164-8653 | 2017-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
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1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
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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.