WAL-MART STORES EAST, LP
NPI 1689122905
Pharmacy in Charlotte, NC

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

The NPI number for Wal-Mart Stores East, LP is 1689122905. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Walmart Pharmacy 10-6233.

Q: What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 15, 2016

11560 N TRYON ST, CHARLOTTE, NC 28262(980) 428-8133(980) 428-8132 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Feb 28, 2017, Feb 21, 2017 and 5 more (8 updates tracked since 2016).

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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 1689122905), doing business as Walmart Pharmacy 10-6233, is a healthcare organization registered as a pharmacy in Charlotte, North Carolina and active in the NPI registry since September 2016. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1689122905

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWAL-MART STORES EAST, LP

Location Address11560 N TRYON STCharlotte, NC 28262-0000

Mailing Address702 Sw 8th St, Ms 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 204-8550

Phone(980) 428-8133

Fax(980) 428-8132

Organization SubpartNo

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

Enumeration DateSeptember 15, 2016

Last NPPES UpdateJune 9, 20258 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1689122905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NC · 13058

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

11560 N TRYON ST, Charlotte, NC 28262

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Other Names 1

Doing Business AsWalmart Pharmacy 10-6233

Other Identifiers 2

Medicaid1689122905NC

Other2163692Pk

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.

55 services53 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.

52 services50 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-6233 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-6233

DMEPOS supplier · Charlotte, NCOperated by Wal-Mart Stores East, LP

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Does not accept Medicare assignment

Walmart Pharmacy 10-6233 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)20498471

Medicare Participant SinceJuly 1, 2014

Supplier Location11530 N Tryon StCharlotte, NC 28262

Phone(980) 428-8133

Supplier Specialties

Pharmacy

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.

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 1689122905. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Walmart Pharmacy 10-6233.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 11560 N Tryon St, Charlotte, NC 28262. The listed phone number is (980) 428-8133.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-6233 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.

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 June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.