Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Ithaca, NY, holding Type 2 (organization) NPI 1508883737 since 2006. The authorized official on file is Sarah Little, Director of Healthcare Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508883737 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 135 FAIRGROUNDS MEMORIAL PKWY, Ithaca, NY, 14850 |
| Phone | 6072778126 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2017-02-20 |
Authorized official
| Name | Sarah Little |
|---|---|
| Title | Director of Healthcare Contracting |
| Phone | 4792772500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 27060 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02654135 | Medicaid | NY | — |
| 2063197 | Other | — | PK |
| 2654135 | Medicaid | NY | — |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1508883737 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 135 FAIRGROUNDS MEMORIAL PKWY, Ithaca, NY, 14850
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831296433 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Ithaca, NY |
| 1679762231 | Catherine Kovacik | Individual | Pharmacist | Ithaca, NY |
| 1902082910 | Dennis Fontaine | Individual | Pharmacist | Ithaca, NY |
| 1053633701 | Kevin Finch | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Ithaca, NY |
| 1841568979 | Gretchen Kelly | Individual | Pharmacist | Ithaca, NY |
| 1508275736 | Dashan Ouyang | Individual | Pharmacist | Ithaca, NY |
| 1992523526 | Akela Enslow | Individual | Optician | Ithaca, NY |
Verify this record
Cross-check NPI 1508883737 against the authoritative CMS record: view Wal-Mart Stores East Lp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Wal-Mart Stores East Lp located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-02-20.