WAL-MART STORES EAST LP
NPI 1528085826
Pharmacy - Community/Retail Pharmacy in Enterprise, AL

Active since July 16, 2006
600 BOLL WEEVIL CIR, ENTERPRISE, AL 36330(334) 347-2199 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2025, Feb 16, 2017 (2 updates tracked since 2017).

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 1528085826), doing business as Walmart Pharmacy 10-0734, is a healthcare organization registered as a community/retail pharmacy in Enterprise, Alabama and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1528085826
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address600 BOLL WEEVIL CIREnterprise, AL 36330-2715
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1528085826 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 AL · 109942
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
600 BOLL WEEVIL CIR, Enterprise, AL 36330

Other Names 1

Doing Business AsWalmart Pharmacy 10-0734

Other Identifiers 2

Other1992952Pk
Medicaid100003377AL

Accepted Insurance

Areas of Expertise CMS Part B claims 3

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.
138 services137 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.
131 services130 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.
21 services20 patients

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Walmart Pharmacy 100734 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 100734

DMEPOS supplier · Enterprise, ALOperated by Wal-Mart Stores East, LP

Does not accept Medicare assignment

Walmart Pharmacy 100734 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)20492339
Medicare Participant SinceJuly 1, 2014
Supplier Location600 Boll Weevil CirEnterprise, AL 36330
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 5

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

Optometrist
600 BOLL WEEVIL CIR, WAL-MART VISON CENTER 734
ENTERPRISE, AL 36330
Pharmacist
600 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Pharmacist
600 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Pharmacist
600 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Eyewear Supplier
600 BOLL WEEVIL CIR
ENTERPRISE, AL 36330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528085826, enumerated as an "organization" on July 16, 2006.

The provider is located at 600 BOLL WEEVIL CIR ENTERPRISE, AL 36330 and the phone number is (334) 347-2199.

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.