| Name: | WAL-MART STORES EAST, LP |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Partnership |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jan 2002 (23 years ago) |
| Identification Number: | 000122359 |
| Place of Formation: | DELAWARE |
| Principal Address: | 702 SW 8TH STREET, BENTONVILLE, AR, 72716, USA |
| Principal Address: | 1 CUSTOMER DR, BENTONVILLE, AR, 72716, USA |
| Purpose: | RETAIL SALES |
| Fictitious names: |
Wal-Mart Neighborhood Market (trading name, 2004-02-24 - ) Wal-Mart Supercenter (trading name, 2004-02-24 - ) Wal-Mart (trading name, 2004-01-08 - ) |
NAICS
452210 Department StoresThis industry comprises establishments known as department stores that have separate departments for general lines of new merchandise, such as apparel, jewelry, home furnishings, and toys, with no one merchandise line predominating. Department stores may sell perishable groceries, such as fresh fruits, vegetables, and dairy products, but such sales are insignificant. Department stores may have separate customer checkout areas in each department, central customer checkout areas, or both. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083779409 | 2006-12-26 | 2023-09-07 | 702 SW 8TH ST, BENTONVILLE, AR, 727160445, US | 51 SILVER SPRING ST, PROVIDENCE, RI, 029042557, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-272-5340 |
Authorized person
| Name | SARAH LITTLE |
| Role | DIRECTOR OF HEALTHCARE CONTRACTING |
| Phone | 4792772500 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PHA00375 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2089571 |
| Issuer | MEDICAID |
| Number | WM64210 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202452095760 | Annual Report | 2024-04-23 |
| 201324203940 | Statement of Change of Registered/Resident Agent Office | 2013-06-17 |
| 201314363520 | Statement of Change of Registered/Resident Agent Office | 2013-03-25 |
| 201178848810 | Statement of Change of Registered/Resident Agent Office | 2011-05-13 |
| 200943319300 | Statement of Change of Registered/Resident Agent Office | 2009-02-27 |
| 202039422640 | Statement of Change of Registered/Resident Agent | 2004-03-31 |
| 202039422730 | Fictitious Business Name Statement | 2004-02-24 |
| 202039422910 | Fictitious Business Name Statement | 2004-02-24 |
| 202039423070 | Fictitious Business Name Statement | 2004-01-08 |
| 202039423160 | Application for Certificate of Registration | 2002-01-14 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345609572 | 0112300 | 2021-10-28 | 650 CENTRE OF NEW ENGLAND BLVD., COVENTRY, RI, 02816 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Referral |
| Activity Nr | 1828558 |
| Safety | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2012-05-08 |
| Case Closed | 2012-05-14 |
Related Activity
| Type | Complaint |
| Activity Nr | 337120 |
| Safety | Yes |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2005-04-07 |
| Case Closed | 2005-04-18 |
Related Activity
| Type | Complaint |
| Activity Nr | 205193964 |
| Health | Yes |
| Type | Complaint |
| Activity Nr | 205242043 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 1994-11-22 |
| Emphasis | L: XEISA |
| Case Closed | 1995-02-01 |
Related Activity
| Type | Complaint |
| Activity Nr | 75088237 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100036 B04 |
| Issuance Date | 1995-01-11 |
| Abatement Due Date | 1995-01-18 |
| Current Penalty | 650.0 |
| Initial Penalty | 1300.0 |
| Nr Instances | 2 |
| Nr Exposed | 10 |
| Gravity | 02 |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100176 B |
| Issuance Date | 1995-01-11 |
| Abatement Due Date | 1995-01-18 |
| Current Penalty | 650.0 |
| Initial Penalty | 1300.0 |
| Nr Instances | 2 |
| Nr Exposed | 10 |
| Gravity | 02 |
| Docket Number | Nature of Suit | Filing Date | Disposition | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0900297 | Civil Rights Employment | 2009-07-10 | settled | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | DILL |
| Role | Plaintiff |
| Name | WAL-MART STORES EAST, LP |
| Role | Defendant |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
