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WAL-MART STORES EAST LP NPI 1063730133


NPI Information

NPI: 1063730133
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-4697

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 49D2129906

Address:
3227 OLD FOREST RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 385-7357
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WAL-MART STORES EAST LP is a durable medical equipment medical supplies in Lynchburg, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAL-MART STORES EAST LP NPI is 1063730133. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-4697.

The provider's business location address is:

3227 OLD FOREST RD
LYNCHBURG, VA
ZIP 24501-325
Phone: (434) 385-7357

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 49D2129906 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 8/29/2023.


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 PharmacyNo
2332B00000XDurable Medical Equipment & Medical Supplies0201004350VIRGINIAYes

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
11063730133MEDICAIDVIRGINIA
22125151OTHERPK

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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