OrganizationActive
Wal-Mart Stores East Lp
NPI 1043611452 · Community/Retail Pharmacy · Derma, MS
Wal-Mart Stores East Lp is a Community/Retail Pharmacy organization in Derma, MS (NPI 1043611452).
Provider details
- NPI number
- 1043611452
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Laura Levine, Dr. Healthcare & Enrollment(479) 204-8550
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 W Veterans Blvd
Derma, MS 38839
Phone: (662) 628-5100
Fax: (662) 628-5102
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-4294
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2015-06-27
Frequently asked questions
- What is Wal-Mart Stores East Lp's NPI number?
- Wal-Mart Stores East Lp's National Provider Identifier (NPI) is 1043611452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores East Lp?
- Wal-Mart Stores East Lp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wal-Mart Stores East Lp located?
- Wal-Mart Stores East Lp's practice location on file with NPPES is 516 W Veterans Blvd, Derma, MS 38839.
- What is Wal-Mart Stores East Lp's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores East Lp is (662) 628-5100.
- Who is the authorized official for Wal-Mart Stores East Lp?
- The authorized official listed on Wal-Mart Stores East Lp's NPPES record is Laura Levine, Dr. Healthcare & Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores East Lp's NPI active?
- Yes — Wal-Mart Stores East Lp's NPI (1043611452) is active in the NPPES registry as of the last update on 2015-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.