WAL-MART PHARMACY 10-3257
NPI 1154769537
Pharmacy - Community/Retail Pharmacy in Broadway, NC

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

The NPI number for Wal-Mart Stores East LP is 1154769537. It was assigned to this organization in the NPPES registry on June 7, 2013. The provider is doing business as Wal-Mart Pharmacy 10-3257.

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 June 07, 2013

112 N MAIN ST, BROADWAY, NC 27505(919) 258-0752 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wal-mart Pharmacy 10-3257 NPPES

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

WAL-MART PHARMACY 10-3257 (NPI 1154769537) is a healthcare organization registered as a community/retail pharmacy in Broadway, North Carolina and active in the NPI registry since June 2013. The organization lists Laura Levine, Manager Govt Contracting, as its authorized official.

NPPES Registry Identity

NPI1154769537

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address112 N MAIN STBroadway, NC 27505-9522

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

Phone(919) 258-0752

Organization SubpartYesParent: Wal-mart Stores Inc

Authorized OfficialLaura LevineManager Govt Contracting · (479) 204-8550

Enumeration DateJune 7, 2013

Last NPPES UpdateApril 30, 2014

✔ NPI 1154769537 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 NC · 11580

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

112 N MAIN ST, Broadway, NC 27505

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3257

Other Identifiers 3

Medicare NSC4355052537

Other2140952Pk

Medicaid1154769537NC

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 1154769537. It was assigned to this organization in the NPPES registry on June 7, 2013. The provider is doing business as Wal-Mart Pharmacy 10-3257.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 112 N Main St, Broadway, NC 27505. The listed phone number is (919) 258-0752.

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 April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.