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WAL-MART STORES EAST LP NPI 1992153191


NPI Information

NPI: 1992153191
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-6941

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2020 NE PINE ISLAND RD
CAPE CORAL, FL
ZIP 33909
Phone: (239) 800-6067
Get Directions

WAL-MART STORES EAST LP is a pharmacy in Cape Coral, FL. 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 1992153191. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-6941.

The provider's business location address is:

2020 NE PINE ISLAND RD
CAPE CORAL, FL
ZIP 33909-766
Phone: (239) 800-6067
Fax: (239) 800-6066

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 5/27/2016 and was last updated on 2/20/2017.


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
2333600000XPharmacyPH30241FLORIDAYes
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
12162011OTHERPK
2018650300MEDICAIDFLORIDA
3018650301 DMEMEDICAIDFLORIDA
44355052966MEDICARE 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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