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WAL-MART STORES EAST LP
NPI 1295752517
Pharmacy - Community/Retail Pharmacy in Cedartown, GA

Active since July 16, 2006
1585 ROME HWY, CEDARTOWN, GA 30125(770) 748-2264 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 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 1295752517), doing business as Walmart Pharmacy 10-0727, is a healthcare organization registered as a community/retail pharmacy in Cedartown, Georgia and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295752517
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1585 ROME HWYCedartown, GA 30125-4402
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(770) 748-2264
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1295752517 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 GA · PHRE007118
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
1585 ROME HWY, Cedartown, GA 30125
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0727

Other Identifiers 2

Other2017242Pk
Medicaid00411155AGA

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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
97 services96 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.
92 services91 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.
20 services20 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.
20 services20 patients

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.

RICHARDS FAMILY EYECARE LLC
Optometrist
1585 ROME HWY
CEDARTOWN, GA 30125
Polk County (770) 748-7406
SUSAN MARIE WHITE
Pharmacist
1585 ROME HWY
CEDARTOWN, GA 30125
Polk County (770) 748-2264
WAL-MART STORES EAST, LP
Eyewear Supplier
1585 ROME HWY
CEDARTOWN, GA 30125
Polk County (813) 672-0739
BRENDON MYLES
Pharmacist
1585 ROME HWY
CEDARTOWN, GA 30125
Polk County (770) 748-2264

Frequently Asked Questions

What is WAL-MART STORES EAST LP's NPI number?

The NPI number assigned to this healthcare provider is 1295752517, enumerated as an "organization" on July 16, 2006.

Where is the provider located?

The provider is located at 1585 ROME HWY CEDARTOWN, GA 30125 and the phone number is (770) 748-2264.

What is the provider's specialty?

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

What insurance does WAL-MART STORES EAST LP accept?

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