Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAL-MART STORES EAST LP
Deactivated OrganizationWAL-MART STORES EAST LP is a Long-Term Care Pharmacy organization located in MACON, Georgia. NPI 1003833344 is deactivated in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · MACON, GA
This NPI has been deactivated.
The record was deactivated on September 2, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1003833344
- Provider Type
- Organization
- NPI Issued
- Jul 16, 2006 (14.131506849315 yrs)
- Last Updated
- Jun 5, 2025
- Deactivated
- Sep 2, 2020
- License
-
PHRE008416 (GA)
Practice Information
- Address
-
1401 GRAY HWYMACON, GA, 312111905Browse GA providers · Browse ZIP 31211
- Phone
- 4787551097
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Pharmacy
- Additional Specialty
- Long-Term Care Pharmacy
Other Long-Term Care Pharmacy Organizations in MACON, GA
| Name | NPI |
|---|---|
| MIDDLE MOODYCARE INC | 1801881545 |
| NORTHSIDE HOSPITAL, INC. | 1326007089 |
| FREDS STORES OF TENNESSEE INC | 1104858133 |
| J.BRYAN, INC | 1922031244 |
| THE KROGER CO | 1356375166 |
| THE KROGER CO | 1497789226 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.