Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Glenpool, OK. Organization (NPI-2).
NPI number1275719601
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1275719601
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jan 16, 2008
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2-5298 | OK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-4615 (Doing Business As)
Practice location
12200 S Waco AveGlenpool, OK 74033-5655
Phone 918-299-8030
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-6209
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Glenpool, OK
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