WALMART PHARMACY 10-3863
NPI 1033518360
Pharmacy - Community/Retail Pharmacy in Mantachie, MS

Active since August 22, 2014
2795 HIGHWAY 371 N, MANTACHIE, MS 38855(662) 282-4180(662) 282-4182 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Walmart Pharmacy 10-3863 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART PHARMACY 10-3863 (NPI 1033518360) is a healthcare organization registered as a community/retail pharmacy in Mantachie, Mississippi and active in the NPI registry since August 2014. The organization lists Laura Levine, Dir Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1033518360
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2795 HIGHWAY 371 NMantachie, MS 38855-9114
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8705 · Fax (479) 277-4331
Fax(662) 282-4182
Organization SubpartNo
Authorized OfficialLaura LevineDir Healthcare Contracting · (479) 204-8550
Enumeration DateAugust 22, 2014
Last NPPES UpdateDecember 29, 2015
NPI 1033518360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MS · 13593/ 1.2
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2795 HIGHWAY 371 N, Mantachie, MS 38855

Other Names 1

Doing Business AsWalmart Pharmacy 10-3863

Other Identifiers 3

Medicare NSC4355052687
Other2147552Pk
Medicaid08759722MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1033518360. It was assigned to this organization in the NPPES registry on August 22, 2014. The provider is doing business as Walmart Pharmacy 10-3863.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2795 Highway 371 N, Mantachie, MS 38855. The listed phone number is (662) 282-4180.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.