WALMART PHARMACY 10-4294
NPI 1043611452
Pharmacy - Community/Retail Pharmacy in Derma, MS

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

The NPI number for Wal-Mart Stores East LP is 1043611452. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as Walmart Pharmacy 10-4294.

Q: 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.

Active since September 05, 2014

516 W VETERANS BLVD, DERMA, MS 38839(662) 628-5100(662) 628-5102 Get Directions Write a Review

NPPES record last updated: June 27, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Walmart Pharmacy 10-4294 NPPES

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

WALMART PHARMACY 10-4294 (NPI 1043611452) is a healthcare organization registered as a community/retail pharmacy in Derma, Mississippi and active in the NPI registry since September 2014. The organization lists Laura Levine, Dr. Healthcare & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1043611452

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address516 W VETERANS BLVDDerma, MS 38839

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331

Phone(662) 628-5100

Fax(662) 628-5102

Organization SubpartNo

Authorized OfficialLaura LevineDr. Healthcare & Enrollment · (479) 204-8550

Enumeration DateSeptember 5, 2014

Last NPPES UpdateJune 27, 2015

✔ NPI 1043611452 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 · 13634/1.2

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

516 W VETERANS BLVD, Derma, MS 38839

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Other Names 1

Doing Business AsWalmart Pharmacy 10-4294

Other Identifiers 3

Medicare NSC4355052776

Other2149228Pk

Medicaid08156073MS

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 1043611452. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as Walmart Pharmacy 10-4294.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 516 W Veterans Blvd, Derma, MS 38839. The listed phone number is (662) 628-5100.

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 June 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.