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WAL-MART STORES EAST LP
NPI 1215271853
Pharmacy - Community/Retail Pharmacy in Brownsville, PA

Active since November 20, 2012
134 DANIEL KENDALL DR, BROWNSVILLE, PA 15417(724) 364-4106 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2025, Feb 16, 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 1215271853), doing business as Wal-mart Pharmacy 10-4501, is a healthcare organization registered as a community/retail pharmacy in Brownsville, Pennsylvania and active in the NPI registry since November 2012. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1215271853
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address134 DANIEL KENDALL DRBrownsville, PA 15417-8303
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(724) 364-4106
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateNovember 20, 2012
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1215271853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP482345
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.
134 DANIEL KENDALL DR, Brownsville, PA 15417
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-4501

Other Identifiers 2

Medicaid100745531 0292PA
Other2138208Pk

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.

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.
55 services55 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.
51 services51 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. MICHAEL THOMAS ROOS PHARMD
Pharmacist
134 DANIEL KENDALL DR
BROWNSVILLE, PA 15417
Fayette County (724) 364-4076
MR. DAVID PATRICK ONEIL RPH
Pharmacist (Ambulatory Care)
134 DANIEL KENDALL DR
BROWNSVILLE, PA 15417
Fayette County (724) 364-4106
KIMBERLY JESIONOWSKI PHARMD
Pharmacist
134 DANIEL KENDALL DR
BROWNSVILLE, PA 15417
Fayette County (724) 364-4106

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 1215271853. It was assigned to this organization in the NPPES registry on November 20, 2012. The provider is doing business as Wal-Mart Pharmacy 10-4501.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 134 Daniel Kendall Dr, Brownsville, PA 15417. The listed phone number is (724) 364-4106.

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 49 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 August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.