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WAL-MART STORES EAST LP NPI 1568489730


NPI Information

NPI: 1568489730
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WAL-MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5000 AMERICAN WAY
MEMPHIS, TN
ZIP 38115
Phone: (901) 366-6274
Get Directions

WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Memphis, TN. The provider is 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. WAL-MART STORES EAST LP NPI is 1568489730. The provider is registered as an organization entity type.
The provider Is Doing Business As Wal-mart Pharmacy.

The provider's business location address is:

5000 AMERICAN WAY
MEMPHIS, TN
ZIP 38115-573
Phone: (901) 366-6274

The provider's authorized official is Randy Wright .
The authorized official title is Phy Enrollment Specialist and has the following contact phone number (479) 273-6574.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 2/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyC1784TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14422969OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
21454064MEDICAIDTENNESSEE
34355050507MEDICARE NSC
44422969OTHEROTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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