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WAL-MART STORES EAST LP NPI 1962872762


NPI Information

NPI: 1962872762
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-4517

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2174776

Address:
2586 N SLAPPEY BLVD
ALBANY, GA
ZIP 31701
Phone: (229) 405-7029
Get Directions

WAL-MART STORES EAST LP is a pharmacy in Albany, GA. The provider is 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. WAL-MART STORES EAST LP NPI is 1962872762. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-4517.

The provider's business location address is:

2586 N SLAPPEY BLVD
ALBANY, GA
ZIP 31701-012
Phone: (229) 405-7029
Fax: (229) 405-7028

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 11D2174776 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2015 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPHRE010256GEORGIAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003171849AMEDICAIDGEORGIA
24355052908MEDICARE NSC
32155717OTHERPK

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.