WAL-MART STORES EAST LP NPI 1376560698

NPI Information

  • NPI: 1376560698
  • Provider Name: WAL-MART STORES EAST LP
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: WAL-MART PHARMACY
  • Address: 4840 OUTER LOOP
    LOUISVILLE, KY
    ZIP 40219
  • Phone: (502) 968-8776

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NPI Details

WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Louisville, KY. 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 1376560698. 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:

4840 OUTER LOOP
LOUISVILLE, KY
ZIP 40219-302
Phone: (502) 968-8776

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPO2116KENTUCKYYes

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
11819222OTHEROTHER ID NUMBER
25400733100MEDICAIDKENTUCKY
35402301500MEDICAIDKENTUCKY
44355051130MEDICARE NSC
51819222OTHEROTHER ID NUMBER-COMMERCIAL 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: 3/30/2025

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