| NPI | 1417974890 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-16 |
| Last Updated | 2023-08-29 |
| Authorized Official | Sarah Little Director of Healthcare Contracting Phone: 4792772500 |
| Mailing Address | 702 Sw 8th St Bentonville, AR 72716-0445 United States 📍 View Map |
| Primary Practice Address | 2500 S Kirkman Rd Orlando, FL 32811-2345 United States Phone: (407) 297-9785 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 100581200 | - |
| Other (non-Medicare) | - | 2009335 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | FL | PH15397 |
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About NPI 1417974890
Wal-Mart Stores East Lp is an organization registered in the CMS NPPES NPI Registry with NPI number 1417974890. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Orlando, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417974890?
NPI 1417974890 belongs to Wal-Mart Stores East Lp, a Pharmacy, Community/Retail Pharmacy in Orlando, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417974890 active?
The current status of NPI 1417974890 in the NPPES registry is Active. The record was last updated on 2023-08-29.
What specialty is NPI 1417974890?
NPI 1417974890 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417974890?
You can verify NPI 1417974890 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417974890?
The primary practice address on file for NPI 1417974890 is 2500 S Kirkman Rd, Orlando, FL 32811-2345. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417974890 issued?
NPI 1417974890 was first issued (enumerated) on 2006-07-16. The NPPES record was last updated on 2023-08-29.
Practice Location Map
Wal-Mart Stores East Lp is located at 2500 S Kirkman Rd, Orlando, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wal-Mart Stores East Lp. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417974890. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PH15397 | FL |