WAL-MART STORES EAST LP
NPI 1215351929
Pharmacy - Community/Retail Pharmacy in Ponchatoula, LA

Active since February 17, 2014
1331 HIGHWAY 51, PONCHATOULA, LA 70454(985) 467-8048(985) 467-8049 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2025, Feb 20, 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 1215351929), doing business as Walmart Pharmacy 10-4129, is a healthcare organization registered as a community/retail pharmacy in Ponchatoula, Louisiana and active in the NPI registry since February 2014. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1215351929
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1331 HIGHWAY 51Ponchatoula, LA 70454-6370
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242
Fax(985) 467-8049
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateFebruary 17, 2014
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1215351929 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 LA · PHY.006845-RC
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
1331 HIGHWAY 51, Ponchatoula, LA 70454

Other Names 1

Doing Business AsWalmart Pharmacy 10-4129

Other Identifiers 2

Medicaid2202758LA
Other2144310Pk

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 52 times for 50 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 49 times for 47 patients

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
1331 HIGHWAY 51
PONCHATOULA, LA 70454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215351929, enumerated as an "organization" on February 17, 2014.

The provider is located at 1331 HIGHWAY 51 PONCHATOULA, LA 70454 and the phone number is (985) 467-8048.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.