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WALMART PHARMACY 10-4267
NPI 1174916084
Pharmacy - Community/Retail Pharmacy in Cross City, FL

Active since March 17, 2015
15726 SE HIGHWAY 19, CROSS CITY, FL 32628(352) 498-6034 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walmart Pharmacy 10-4267 NPPES

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

WALMART PHARMACY 10-4267 (NPI 1174916084) is a healthcare organization registered as a community/retail pharmacy in Cross City, Florida and active in the NPI registry since March 2015. The organization lists Laura Levine, Dir Healthcare Contract & Enro, as its authorized official.

NPPES Registry Identity

NPI1174916084
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address15726 SE HIGHWAY 19Cross City, FL 32628-3568
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(352) 498-6034
Organization SubpartNo
Authorized OfficialLaura LevineDir Healthcare Contract & Enro · (479) 204-8550
Enumeration DateMarch 17, 2015
Last NPPES UpdateJuly 30, 2015
✔ NPI 1174916084 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 FL · PH29084
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
15726 SE HIGHWAY 19, Cross City, FL 32628
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4267

Other Identifiers 4

Other2150862Pk
Medicaid014865601 DMEFL
Medicare NSC4355052799
Medicaid014865600FL

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 1174916084. It was assigned to this organization in the NPPES registry on March 17, 2015. The provider is doing business as Walmart Pharmacy 10-4267.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 15726 SE Highway 19, Cross City, FL 32628. The listed phone number is (352) 498-6034.

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 July 30, 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.