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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 1235156480
Pharmacy - Community/Retail Pharmacy in Caguas, PR

Active since July 16, 2006
301 AVE RAFAEL CORDERO, CAGUAS, PR 00725(787) 286-8460(787) 286-8731 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, Apr 2, 2019 and 6 more (9 updates tracked since 2015).

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 1235156480), doing business as Walmart Pharmacy 10-2449, is a healthcare organization registered as a community/retail pharmacy in Caguas, Puerto Rico and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1235156480
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PUERTO RICO INC
Location Address301 AVE RAFAEL CORDEROCaguas, PR 00725-5000
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(787) 286-8460
Fax(787) 286-8731
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 17, 20269 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1235156480 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 · 20-F-2352
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 10-2449

Other Identifiers 1

Other2087431Pk

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 ›

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Puerto Rico, Inc carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Puerto Rico, Inc

DMEPOS supplier · Ponce, PR
⋮

Does not accept Medicare assignment

Wal-Mart Puerto Rico, Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)24548148
Medicare Participant SinceJune 25, 2004
Supplier LocationPlaza Reina Del Sur #2026 Ave. Baramaya, Suite #100Ponce, PR 00728
Phone(787) 709-4036
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

AMARILYS BERRIOS
Pharmacist
301 AVE RAFAEL CORDERO
CAGUAS, PR 00725
Caguas Municipio (787) 368-1817
PEDRO J LARA RPH
Pharmacist
301 AVE RAFAEL CORDERO
CAGUAS, PR 00725
Caguas Municipio (787) 286-8463
WAL-MART PUERTO RICO INC
Eyewear Supplier
301 AVE RAFAEL CORDERO
CAGUAS, PR 00725
Caguas Municipio (787) 286-8490
WAL-MART PUERTO RICO INC
Eyewear Supplier
301 AVE RAFAEL CORDERO
CAGUAS, PR 00725
Caguas Municipio (787) 653-1376

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 1235156480. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2449.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at 301 Ave Rafael Cordero, Caguas, PR 00725. The listed phone number is (787) 286-8460.

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.

Does Wal-Mart Puerto Rico Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Puerto Rico, Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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 47 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 23 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.