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WAL-MART STORES EAST LP NPI 1013934413


NPI Information

NPI: 1013934413
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-5315

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
2354 COMMERCE PARK DR STE 100
ORLANDO, FL
ZIP 32819
Phone: (877) 453-4566
Get Directions

WAL-MART STORES EAST LP is a specialty pharmacy pharmacy in Orlando, FL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. WAL-MART STORES EAST LP NPI is 1013934413. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-5315.

The provider's business location address is:

2354 COMMERCE PARK DR STE 100
ORLANDO, FL
ZIP 32819-601
Phone: (877) 453-4566
Fax: (866) 537-0877

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 enumeration date for this NPI number is 7/16/2006 and was last updated on 11/6/2023.


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
13336S0011XPharmacySpecialty Pharmacy3872TENNESSEENo
23336S0011XPharmacySpecialty Pharmacy5301007714MICHIGANNo
33336S0011XPharmacySpecialty Pharmacy2003010214MISSOURINo
43336S0011XPharmacySpecialty Pharmacy64000468AINDIANANo
53336S0011XPharmacySpecialty PharmacyPHY.005063-OSLOUISIANANo
63336S0011XPharmacySpecialty Pharmacy22601TEXASNo
73336S0011XPharmacySpecialty Pharmacy99-6096OKLAHOMANo
83336S0011XPharmacySpecialty PharmacyPH18943FLORIDANo
93336S0011XPharmacySpecialty Pharmacy021368750-03OHIONo
103336S0011XPharmacySpecialty Pharmacy262265MINNESOTANo
113336S0011XPharmacySpecialty PharmacyFL873KENTUCKYNo
123336S0011XPharmacySpecialty Pharmacy054.015021ILLINOISNo
133336S0011XPharmacySpecialty Pharmacy965NORTH DAKOTANo
143336S0011XPharmacySpecialty PharmacyPHA-MOP-LIC-12447MONTANANo
153336S0011XPharmacySpecialty PharmacyOS01543ARKANSASYes

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
1006340MEDICAIDFLORIDA
2100445350CMEDICAIDFLORIDA
3100505069MEDICAIDFLORIDA
41013934413MEDICAIDFLORIDA
50311413MEDICAIDNEW JERSEY
62015188OTHERPK
73810010863MEDICAIDFLORIDA
81007455310380MEDICAIDPENNSYLVANIA
91013934413MEDICAIDALABAMA
1080658873MEDICAIDCOLORADO
11025831800MEDICAIDFLORIDA
1225831800MEDICAIDFLORIDA

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.