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WAL-MART STORES EAST LP NPI 1639540263


NPI Information

NPI: 1639540263
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-7221

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2191108

Address:
1100 S MAIN ST
NORTH PORT, FL
ZIP 34287
Phone: (941) 240-3086
Get Directions

WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in North Port, FL. 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 1639540263. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-7221.

The provider's business location address is:

1100 S MAIN ST
NORTH PORT, FL
ZIP 34287-500
Phone: (941) 240-3086
Fax: (941) 240-3081

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

The CLIA number assigned to this NPI record is 10D2191108 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/10/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPH29603FLORIDAYes

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
1016586301 DMEMEDICAIDFLORIDA
22155222OTHERPK
3016586300MEDICAIDFLORIDA

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.