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

Active since July 16, 2006
240 WAL MART WAY, MAYSVILLE, KY 41056(606) 759-5050 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2017, Dec 21, 2016 (2 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 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
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

Other Names 1

Doing Business AsWal-mart Pharmacy 10-1569

Other Identifiers 3

Medicaid5402602600KY
Medicaid5400788500KY
Other2031660Pk

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
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.

Pharmacist
240 WAL MART WAY
MAYSVILLE, KY 41056
Optometrist
240 WAL MART WAY, STE 5
MAYSVILLE, KY 41056
Pharmacist
240 WAL MART WAY
MAYSVILLE, KY 41056
Technician/Technologist (Optician)
240 WAL MART WAY
MAYSVILLE, KY 41056
Technician/Technologist (Optician)
240 WAL MART WAY
MAYSVILLE, KY 41056
Technician/Technologist (Optician)
240 WAL MART WAY
MAYSVILLE, KY 41056
Technician/Technologist (Optician)
240 WAL MART WAY
MAYSVILLE, KY 41056
Pharmacist
240 WAL MART WAY
MAYSVILLE, KY 41056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457378770, enumerated as an "organization" on July 16, 2006.

The provider is located at 240 WAL MART WAY MAYSVILLE, KY 41056 and the phone number is (606) 759-5050.

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

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