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WAL-MART STORES EAST LP NPI 1811341084


NPI Information

NPI: 1811341084
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-5726

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2401 INDIAN WELLS ROAD
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 812-7045
Get Directions

WAL-MART STORES EAST LP is a pharmacy in Alamogordo, NM. 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 1811341084. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-5726.

The provider's business location address is:

2401 INDIAN WELLS ROAD
ALAMOGORDO, NM
ZIP 88310-831
Phone: (575) 812-7045

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 4/14/2016 and was last updated on 2/21/2017.


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
2333600000XPharmacyCS00223157NEW MEXICOYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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
100475891MEDICAIDNEW MEXICO
22159673OTHERPK
34355052954MEDICARE NSC

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: 11/14/2023

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