Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WAL-MART PUERTO RICO INC
NPI 1497022438
Pharmacy - Community/Retail Pharmacy in San Juan, PR

Active since November 18, 2011
PR-2 KM 2.2 KENNEDY AVE, MARGINAL JOHN F KENNEDY, SAN JUAN, PR 00920(787) 522-3601(787) 522-3609 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2026, Jul 10, 2026, Jun 9, 2025 and 4 more (7 updates tracked since 2017).

About Wal-mart Puerto Rico Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART PUERTO RICO INC (NPI 1497022438) is a healthcare organization registered as a community/retail pharmacy in San Juan, Puerto Rico and active in the NPI registry since November 2011. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1497022438
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PUERTO RICO INC
Location AddressPR-2 KM 2.2 KENNEDY AVE, MARGINAL JOHN F KENNEDYSan Juan, PR 00920-1715
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Fax(787) 522-3609
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateNovember 18, 2011
Last NPPES UpdateJuly 17, 20267 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1497022438 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 PR · 19-F-2003
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

Other Identifiers 1

Other2132770Pk

Accepted Insurance

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 Puerto Rico Inc's NPI number?

The NPI number for Wal-Mart Puerto Rico Inc is 1497022438. It was assigned to this organization in the NPPES registry on November 18, 2011.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at Pr-2 Km 2.2 Kennedy Ave Marginal John F Kennedy, San Juan, PR 00920. The listed phone number is (787) 522-3601.

What is Wal-Mart Puerto Rico Inc'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 Puerto Rico Inc 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 47 other insurers list Wal-Mart Puerto Rico Inc 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 Puerto Rico Inc was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.