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WAL-MART STORES EAST LP NPI 1699953059


NPI Information

NPI: 1699953059
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-4200

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2174712

Address:
6475 GATEWAY RD
COLUMBUS, GA
ZIP 31909
Phone: (706) 563-6535
Get Directions

WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Columbus, GA. 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 1699953059. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-4200.

The provider's business location address is:

6475 GATEWAY RD
COLUMBUS, GA
ZIP 31909-636
Phone: (706) 563-6535

The provider's authorized official is Sarah Little .
The authorized official title is Director Of Healthcare Contracting and has the following contact phone number (479) 277-2500.

The CLIA number assigned to this NPI record is 11D2174712 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 2/16/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE009440GEORGIAYes

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
12016886OTHERPK
21699953059MEDICAIDALABAMA
3770301092AMEDICAIDGEORGIA
4164516MEDICAIDALABAMA

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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