Wal-Mart Stores East LP
NPI 1396291647ActiveOrganization· Pharmacy· Abingdon, VA
Pharmacy in Abingdon, Virginia, registered in NPPES in August 2016. The authorized official on file is Matthew McMullin, Director, Contracting. Medicare paid $28,455 for services to 143 patients in 2024.
Overview
| NPI | 1396291647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2016 |
| Last updated in NPPES | Dec 1, 2023 |
| Certified by provider | Dec 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0201004741 | VA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 143 |
|---|---|
| Services billed | 408 across 9 procedure codes |
| Paid by Medicare | $28,455 |
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