Active NPIOrganization

Wal-Mart Stores East LP

Pharmacy, Community/Retail Pharmacy in Boonton, New Jersey

NPI Number1790702835
Practice location
300 Wootton St, Boonton, NJ 07005-1925
Fax
—
Last updated
August 30, 2023

Wal-Mart Stores East LP is a healthcare organization based in Boonton, NJ. Wal-Mart Stores East LP practices in Boonton, NJ. The NPI Number for Wal-Mart Stores East LP is 1790702835 and holds a License No. 28RS00638400 (NJ). The current practice location address for Wal-Mart Stores East LP is 300 Wootton St, Boonton, NJ 07005-1925 and can be reached out via phone at 973-299-0944.

Provider Profile Details

NPI Number
1790702835
Provider Name
Wal-Mart Stores East LP
Provider Entity Type
Organization
Address
300 Wootton St, Boonton, NJ 07005-1925
Phone Number
973-299-0944
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Sarah Little · Director Of Healthcare Contracting · 479-277-2500
Other Names
Walmart Pharmacy 10-5077 (Doing Business As)
Provider Enumeration Date
July 16, 2006
Last Update Date
August 30, 2023
Certification Date
August 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Wootton St
Boonton, NJ 07005-1925
Zip
07005-1925
Phone Number
973-299-0944
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
702 SW 8TH St
Bentonville, AR 72716-0445
City
Bentonville
State
AR
Zip
72716-0445

License Information

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
28RS00638400
License State (3)
NJ
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wal-Mart Stores East LP?

The NPI number of Wal-Mart Stores East LP is 1790702835. It was assigned on July 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Wal-Mart Stores East LP?

Wal-Mart Stores East LP is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00638400.

Where does Wal-Mart Stores East LP practice?

The practice location is 300 Wootton St, Boonton, NJ 07005-1925. The office can be reached at 973-299-0944 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790702835 directly on the NPPES registry website.

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