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WAL-MART STORES EAST LP
NPI 1407299910
Pharmacy - Community/Retail Pharmacy in Virginia Beach, VA

Active since April 15, 2013CLIA 49D2127520 · Waiver
3201 HOLLAND RD, VIRGINIA BEACH, VA 23453(757) 821-7681(757) 821-7675 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2025, Feb 15, 2017, Dec 13, 2016 (3 updates tracked since 2016).

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 1407299910), doing business as Walmart Pharmacy 10-4220, is a healthcare organization registered as a community/retail pharmacy in Virginia Beach, Virginia and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Kimberly Canonic, Senior Director Enrollment, as its authorized official.

NPPES Registry Identity

NPI1407299910
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address3201 HOLLAND RDVirginia Beach, VA 23453-2828
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(757) 821-7681
Fax(757) 821-7675
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director Enrollment · (480) 853-0515
Enumeration DateApril 15, 2013
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1407299910 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 VA · 0201004519
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
3201 HOLLAND RD, Virginia Beach, VA 23453
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4220

Other Identifiers 2

Medicaid1407299910VA
Other2140029Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2127520

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-4220 · Virginia Beach, VA
Active · expires Mar 13, 2027
CLIA Number49D2127520
Laboratory TypePharmacy
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorJonathan R. Allen
Laboratory Phone(757) 821-7681
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-42203201 Holland Road, Virginia Beach, VA 23453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
107 services106 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.
100 services99 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.
29 services29 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.
26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-4220 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-4220

DMEPOS supplier · Virginia Beach, VAOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-4220 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)20503469
Medicare Participant SinceJuly 1, 2014
Supplier Location3201 Holland RoadVirginia Beach, VA 23453
Phone(757) 821-7681
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 2

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

MS. LORELEI NELSON RPH
Pharmacist
3201 HOLLAND RD
VIRGINIA BEACH, VA 23453
Virginia Beach City (757) 821-7681
SARAH MATTHEWS CPHT
Pharmacy Technician
3201 HOLLAND RD
VIRGINIA BEACH, VA 23453
Virginia Beach City (757) 821-7681

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 1407299910. It was assigned to this organization in the NPPES registry on April 15, 2013. The provider is doing business as WalMart Pharmacy 10-4220.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 3201 Holland Rd, Virginia Beach, VA 23453. The listed phone number is (757) 821-7681.

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.

Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-4220 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.

Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2127520) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 48 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 July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.