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WAL-MART STORES EAST LP
NPI 1023035284
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Active since July 16, 2006CLIA Certified · 2 labs
7735 N TRYON ST, CHARLOTTE, NC 28262(704) 547-0972 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, May 10, 2023, Feb 20, 2017 and 1 more (4 updates tracked since 2016).

About Wal-mart Stores East Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST LP (NPI 1023035284), doing business as Wal-mart Pharmacy 10-2134, is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1023035284
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address7735 N TRYON STCharlotte, NC 28262-3498
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(704) 547-0972
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1023035284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 07948
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
7735 N TRYON ST, Charlotte, NC 28262
Open in Google Maps ↗

Other Names 1

Doing Business AsWal-mart Pharmacy 10-2134

Other Identifiers 4

Medicaid187549NC
Medicaid0607861NC
Medicaid607861NC
Other2070703Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2119612

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-2134 · Charlotte, NC
Active · expires Sep 29, 2026
CLIA Number34D2119612
Laboratory TypePharmacy
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorNajla T. Taslim
Laboratory Phone(704) 547-0972
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy 10-21347735 N Tryon Street, Charlotte, NC 28262
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2120927

Wal-Mart Stores East, LP Dba Walmart Pharmacy 10-6233 · Charlotte, NC
Active · expires Oct 26, 2026
CLIA Number34D2120927
Laboratory TypePharmacy
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorTiffany Anderson
Laboratory Phone(479) 258-6734
Laboratory LocationWal-Mart Stores East, LP Dba Walmart Pharmacy 10-623311530 N Tryon Street, Charlotte, NC 28262
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-2134 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-2134

DMEPOS supplier · Charlotte, NCOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-2134 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20489993
Medicare Participant SinceJuly 1, 2014
Supplier Location7735 N Tryon StCharlotte, NC 28262
Phone(704) 547-0972
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY ANN MCCLUCAS PHARM.D.
Pharmacist
7735 N TRYON ST
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0972
VUONG TYLER TRAN
Pharmacist
7735 N TRYON ST
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0972
ERIK VOSS PHARMD
Pharmacist
7735 N TRYON ST
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0972
WAL-MART STORES EAST, LP.
Technician/Technologist (Optician)
7735 N TRYON ST
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0250
RYAN LEBLANC OD PLLC
Optometrist
7735 N TRYON ST
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1023035284. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-2134.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 7735 N Tryon St, Charlotte, NC 28262. The listed phone number is (704) 547-0972.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-2134 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Wal-Mart Stores East LP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wal-Mart Stores East LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Wal-Mart Stores East LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.