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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WAL-MART PUERTO RICO INC
NPI 1174666556
Pharmacy - Community/Retail Pharmacy in Santa Isabel, PR

Active since February 15, 2007
CARR ESTATAL 153 KM 7.2, SANTA ISABEL, PR 00757(787) 971-1010(787) 845-0020 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Jun 5, 2025, Apr 3, 2019 and 1 more (4 updates tracked since 2017).

About Wal-mart Puerto Rico Inc NPPES

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

WAL-MART PUERTO RICO INC (NPI 1174666556), doing business as Walmart Pharmacy 10-3693, is a healthcare organization registered as a community/retail pharmacy in Santa Isabel, Puerto Rico and active in the NPI registry since February 2007. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1174666556
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PUERTO RICO INC
Location AddressCARR ESTATAL 153 KM 7.2Santa Isabel, PR 00757-4005
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(787) 971-1010
Fax(787) 845-0020
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1174666556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PR · 18-F-2415
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

Other Names 1

Doing Business AsWalmart Pharmacy 10-3693

Other Identifiers 1

Other2087432Pk

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 ›

Other Providers at the Same Location NPPES

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

LISANDRA MENENDEZ TORRES PHARMD
Pharmacist
CARR ESTATAL 153 KM 7.2, BO JAUCA 2
SANTA ISABEL, PR 00757
Santa Isabel Municipio (787) 971-1011

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 Puerto Rico Inc's NPI number?

The NPI number for Wal-Mart Puerto Rico Inc is 1174666556. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Walmart Pharmacy 10-3693.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at Carr Estatal 153 Km 7.2, Santa Isabel, PR 00757. The listed phone number is (787) 971-1010.

What is Wal-Mart Puerto Rico Inc'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 Puerto Rico Inc 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 41 other insurers list Wal-Mart Puerto Rico Inc 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 Puerto Rico Inc was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.