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WAL-MART STORES EAST LP NPI 1396291647


NPI Information

NPI: 1396291647
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-0154

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
16032 15 MILE BLVD
ABINGDON, VA
ZIP 24211
Phone: (276) 619-5748
Get Directions

WAL-MART STORES EAST LP is a pharmacy in Abingdon, VA. 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 1396291647. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-0154.

The provider's business location address is:

16032 15 MILE BLVD
ABINGDON, VA
ZIP 24211-106
Phone: (276) 619-5748
Fax: (276) 619-8331

The provider's authorized official is Matthew Mcmullin .
The authorized official title is Director, Contracting and has the following contact phone number (479) 371-8711.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 12/1/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy0201004741VIRGINIAYes

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
11396291647MEDICAIDVIRGINIA
22164040OTHERPK

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

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.