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WAL-MART STORES EAST LP NPI 1689122905


NPI Information

NPI: 1689122905
Provider Name: WAL-MART STORES EAST, LP

Doing Business As: WALMART PHARMACY 10-6233

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
11560 N TRYON ST
CHARLOTTE, NC
ZIP 28262
Phone: (980) 428-8133
Get Directions

WAL-MART STORES EAST, LP is a pharmacy in Charlotte, NC. 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 1689122905. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-6233.

The provider's business location address is:

11560 N TRYON ST
CHARLOTTE, NC
ZIP 28262-000
Phone: (980) 428-8133
Fax: (980) 428-8132

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 enumeration date for this NPI number is 9/15/2016 and was last updated on 4/4/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy13058NORTH CAROLINAYes

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
12163692OTHERPK
24355052984MEDICARE NSC
31689122905MEDICAIDNORTH CAROLINA

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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