WALMART CARE CLINIC 10-0630
NPI 1205241759
Nurse Practitioner in Florence, SC

Active since June 24, 2014
230 N BELTLINE DR, FLORENCE, SC 29501(843) 773-3016(843) 679-9694 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Care Clinic 10-0630 NPPES

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

WALMART CARE CLINIC 10-0630 (NPI 1205241759) is a healthcare organization registered as a nurse practitioner in Florence, South Carolina and active in the NPI registry since June 2014. The organization lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1205241759
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address230 N BELTLINE DRFlorence, SC 29501-7403
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550
Fax(843) 679-9694
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDirector Of Healthcare Contracting · (479) 204-8550
Enumeration DateJune 24, 2014
Last NPPES UpdateFebruary 19, 2015
NPI 1205241759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
230 N BELTLINE DR, Florence, SC 29501

Other Names 1

Other NameWalmart Care Clinic 10-0630

Other Identifiers 2

OtherD953SC · Medicare Ptan
MedicaidGP6499SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0630 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-0630

DMEPOS supplier · Florence, SCOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-0630 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20493899
Medicare Participant SinceJuly 1, 2014
Supplier Location230 N Beltline DrFlorence, SC 29501
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501
Pharmacist
230 N BELTLINE DR
FLORENCE, SC 29501

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 1205241759. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is also known as Walmart Care Clinic 10-0630.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 230 N Beltline Dr, Florence, SC 29501. The listed phone number is (843) 773-3016.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-0630 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on February 19, 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.