WAL-MART STORES EAST LP - NPI 1457378770 - Pharmacy in Maysville, KY

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

The NPI number for Wal-Mart Stores East LP is 1457378770. It was assigned to this organization in the NPPES registry on July 16, 2006.

Q: 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.

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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 1457378770), doing business as Wal-mart Pharmacy 10-1569, is a healthcare organization registered as a community/retail pharmacy in Maysville, Kentucky and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457378770

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address240 WAL MART WAYMaysville, KY 41056-7516

Mailing Address702 Sw 8th St, Mail Stop 0445Bentonville, AR 72716-0445 · (479) 277-1242

Phone(606) 759-5050

Organization SubpartNo

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

Enumeration DateJuly 16, 2006

Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1457378770 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 KY · PO2294

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

240 WAL MART WAY, Maysville, KY 41056

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-1569

Other Identifiers 3

Medicaid5402602600KY

Medicaid5400788500KY

Other2031660Pk

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 2

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.

70 services70 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.

65 services65 patients

Other Providers at the Same Location NPPES 9

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

MARYANN AWOSIKA

Pharmacist

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-5050

DR. IDOWU OLUWASEUN AWOSIKA O.D.

Optometrist

240 WAL MART WAY, STE 5
MAYSVILLE, KY 41056

Mason County (606) 759-0030

HEEJOO KIM WILSON PHARMD

Pharmacist

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-5050

MRS. APRIL DOYLE

Technician/Technologist (Optician)

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-0385

MARYAH B GARRETT

Technician/Technologist (Optician)

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-0385

CAROL INMAN

Technician/Technologist (Optician)

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-0385

BLAKE JENKINS LDO

Technician/Technologist (Optician)

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-0385

HOLLY COPLEY PHARMD

Pharmacist

240 WAL MART WAY
MAYSVILLE, KY 41056

Mason County (606) 759-5050

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 1457378770. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 240 Wal Mart Way, Maysville, KY 41056. The listed phone number is (606) 759-5050.

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.

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 49 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 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.