Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Teterboro, NJ

NPI number 1992196422 Active

Practice location

1 Teterboro Landing Dr
Teterboro, NJ 07608-1120

Call (201) 375-4004 Map

Fax (201) 375-4003

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	28RS00739800 (NJ)

Community/Retail Pharmacy: 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 …

8 other providers at this address

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Costco Wholesale CorporationCommunity/Retail Pharmacy Teterboro, NJ NPI 1265542880

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NPI record

NPI: 1992196422
Entity type: Organization (Type 2)
Issued: Feb 5, 2015
Last updated: Aug 30, 2023
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-3159 · doing business as
Walmart Pharmacy 10-3159 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992196422

Wal-Mart Stores East LP's National Provider Identifier is 1992196422, issued on Feb 5, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Teterboro, NJ. The record was last updated on Aug 30, 2023.