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WAL-MART STORES EAST LP
NPI 1083779201
Pharmacy - Community/Retail Pharmacy in Nashville, TN

Active since December 27, 2006
4040 NOLENSVILLE PIKE, NASHVILLE, TN 37211(615) 831-0118(615) 831-0885 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Feb 15, 2017 (2 updates tracked since 2017).

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 1083779201), doing business as Wal-mart Pharmacy 10-3717, is a healthcare organization registered as a community/retail pharmacy in Nashville, Tennessee and active in the NPI registry since December 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083779201
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address4040 NOLENSVILLE PIKENashville, TN 37211-4516
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(615) 831-0118
Fax(615) 831-0885
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1083779201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 4341
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
4040 NOLENSVILLE PIKE, Nashville, TN 37211
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3717

Other Identifiers 2

Other2095154Pk
Medicaid139068TN

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 ›

Areas of Expertise CMS Part B claims 2

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.

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.
38 services38 patients
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.
38 services38 patients

Other Providers at the Same Location NPPES 3

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

DR. GARY A TOMAINO PHARM.D.
Pharmacist
4040 NOLENSVILLE PIKE
NASHVILLE, TN 37211
Davidson County (615) 831-0133
DR. KALICHARAN MOTHERAMGARI I PHARM.D.
Pharmacist
4040 NOLENSVILLE PIKE
NASHVILLE, TN 37211
Davidson County (615) 831-0118
WAL-MART STORES EAST, LP
Eyewear Supplier
4040 NOLENSVILLE PIKE
NASHVILLE, TN 37211
Davidson County (615) 831-0114

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 1083779201. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Wal-Mart Pharmacy 10-3717.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 4040 Nolensville Pike, Nashville, TN 37211. The listed phone number is (615) 831-0118.

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.

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 52 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 July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.