WAL-MART PHARMACY 10-2275 – NPI #1710904909
Pharmacy

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 PHARMACY 10-2275 is a pharmacy located in OXFORD, OH. NPPES has assigned the NPI number 1710904909 to WAL-MART PHARMACY 10-2275 on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WAL-MART PHARMACY 10-2275” is a dba name, the actual legal business name for this organization is WAL-MART STORES EAST LP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 3 years ago on Aug 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAL-MART PHARMACY 10-2275 below.

NPI Profile for
WAL-MART STORES EAST LP

NPI Number
1710904909
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAL-MART STORES EAST LP
Doing Business As (dba): WAL-MART PHARMACY 10-2275
Primary location
5720 COLLEGE CORNER PIKE
OXFORD, OH 45056-1178
Phone: (513) 524-3744 Fax:
Mailing address
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone: Fax:
Organization Subpart
No
Authorized Official
SARAH LITTLE
DIRECTOR OF HEALTHCARE CONTRACTING
Phone: (479) 277-2500
Updated
Certification Date
Aug 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WAL-MART PHARMACY 10-2275

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2073635
medicaidOH200111050A
medicaidOH0119179
medicaidOH119179
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
OH 020811500
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669