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WAL-MART STORES EAST LP NPI 1790702926


NPI Information

NPI: 1790702926
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WAL-MART PHARMACY 10-5068

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
200 SUNRISE MALL
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 799-5042
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WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Massapequa, NY. 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 1790702926. The provider is registered as an organization entity type.
The provider Is Doing Business As Wal-mart Pharmacy 10-5068.

The provider's business location address is:

200 SUNRISE MALL
MASSAPEQUA, NY
ZIP 11758-340
Phone: (516) 799-5042

The provider's authorized official is Laura Levine .
The authorized official title is Mgr Of Government Contracting and has the following contact phone number (479) 204-8550.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/1/2013.


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 Pharmacy025988NEW YORKYes

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
12393259MEDICAIDNEW YORK
24355051821MEDICARE NSC
32059397OTHERPK

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

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