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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 STORES EAST , LP
NPI 1447277660
Pharmacy - Community/Retail Pharmacy in New Hudson, MI

Active since July 16, 2006CLIA 23D2149510 · Waiver
30729 LYON CENTER DR E, NEW HUDSON, MI 48165(248) 486-1953(248) 486-3044 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Jul 30, 2026, Aug 30, 2023 and 2 more (5 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 1447277660), doing business as Walmart Pharmacy 10-5048, is a healthcare organization registered as a community/retail pharmacy in New Hudson, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Kimberly Canonic, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1447277660
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST , LP
Location Address30729 LYON CENTER DR ENew Hudson, MI 48165-8903
Mailing Address1 Customer DrBentonville, AR 72716-0445
Phone(248) 486-1953
Fax(248) 486-3044
Organization SubpartNo
Authorized OfficialKimberly CanonicSr. Director · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 3, 20265 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1447277660 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 MI · 5301007766
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
30729 LYON CENTER DR E, New Hudson, MI 48165
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5048

Other Identifiers 2

Other2046491Pk
Medicaid2365054MI

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 23D2149510

Walmart Pharmacy 10-5048 · New Hudson, MI
Active · expires Jun 4, 2028
CLIA Number23D2149510
Laboratory TypePharmacy
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorAya Al-Anani
Laboratory Phone(248) 486-1953
Laboratory LocationWalmart Pharmacy 10-504830729 Lyon Center Dr E, New Hudson, MI 48165
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.
222 services220 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.
209 services207 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.
40 services40 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.
40 services40 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-5048 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-5048

DMEPOS supplier · New Hudson, MIOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-5048 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)20493209
Medicare Participant SinceJuly 1, 2014
Supplier Location30729 Lyon Center Dr ENew Hudson, MI 48165
Phone(248) 486-1953
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.

WAL-MART STORES EAST, LP
Eyewear Supplier
30729 LYON CENTER DR E
NEW HUDSON, MI 48165
Oakland County (248) 486-0445
MR. DOUGLAS JAY HENGER
Pharmacist
30729 LYON CENTER DR E
NEW HUDSON, MI 48165
Oakland County (248) 486-8941
MADELINE ROSARIO O.D.
Optometrist
30729 LYON CENTER DR E
NEW HUDSON, MI 48165
Oakland County (248) 486-3491
DR. STEVEN R HILL O.D.
Optometrist
30729 LYON CENTER DR E
NEW HUDSON, MI 48165
Oakland County (248) 486-3491

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 1447277660. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-5048.

Where is Wal-Mart Stores East , LP located?

Wal-Mart Stores East , LP is located at 30729 Lyon Center Dr E, New Hudson, MI 48165. The listed phone number is (248) 486-1953.

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, Wal-Mart Pharmacy 10-5048 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 23D2149510) is associated with this NPI, valid through June 4, 2028. 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 52 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 August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.