1. Home
  2. Directory
  3. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WAL-MART PUERTO RICO INC
NPI 1194988709
Pharmacy - Community/Retail Pharmacy in Canovanas, PR

Active since July 03, 2008
PLAZA CANOVANAS HWY 3 INT NEW RT 66, CANOVANAS, PR 00729(787) 957-2715 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Jun 5, 2025, Feb 16, 2017 (3 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 1194988709), doing business as Walmart Pharmacy 10-5802, is a healthcare organization registered as a community/retail pharmacy in Canovanas, Puerto Rico and active in the NPI registry since July 2008. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1194988709
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PUERTO RICO INC
Location AddressPLAZA CANOVANAS HWY 3 INT NEW RT 66Canovanas, PR 00729
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-6209
Phone(787) 957-2715
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 3, 2008
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1194988709 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 PR · 18-P-2535
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

Other Names 1

Doing Business AsWalmart Pharmacy 10-5802

Other Identifiers 1

Other2087885Pk

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 ›

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 1194988709. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is doing business as Walmart Pharmacy 10-5802.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at Plaza Canovanas Hwy 3 Int New Rt 66, Canovanas, PR 00729. The listed phone number is (787) 957-2715.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.