WAL-MART STORES EAST LP
NPI 1295105047
Pharmacy in Huntsville, AL

Q: What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1295105047. It was assigned to this organization in the NPPES registry on October 5, 2015. The provider is doing business as Walmart Pharmacy 10-5716.

Q: What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since October 05, 2015

9020 BAILEY COVE RD SE, HUNTSVILLE, AL 35802(256) 970-6547(256) 970-6548 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Feb 16, 2017, Mar 28, 2016 and 5 more (8 updates tracked since 2015).

On this page

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 1295105047), doing business as Walmart Pharmacy 10-5716, is a healthcare organization registered as a pharmacy in Huntsville, Alabama and active in the NPI registry since October 2015. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295105047

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWAL-MART STORES EAST LP

Location Address9020 BAILEY COVE RD SEHuntsville, AL 35802-4002

Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445

Phone(256) 970-6547

Fax(256) 970-6548

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348

Enumeration DateOctober 5, 2015

Last NPPES UpdateJune 15, 20268 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1295105047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in AL · 114579

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

9020 BAILEY COVE RD SE, Huntsville, AL 35802

Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-5716

Other Identifiers 2

Other2155719Pk

Medicaid1295105047AL

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 Arkansas Health & Wellness and more.Insurance ›

Areas of Expertise CMS Part B claims 4

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.

186 services185 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.

175 services174 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

52 services52 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

33 services33 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Stores East LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East LP

DMEPOS supplier · Huntsville, AL

⋮

Does not accept Medicare assignment

Wal-Mart Stores East LP 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)20496857

Medicare Participant SinceJuly 1, 2014

Supplier Location9020 Bailey Cove Rd SEHuntsville, AL 35802

Phone(256) 970-6547

Supplier Specialties

Pharmacy

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 7

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

KENDRA PHILLIPS EDLIN

Pharmacist