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WAL-MART STORES EAST LP
NPI 1699023671
Pharmacy in Denton, MD

Active since August 22, 2012
610 LEGION RD, DENTON, MD 21629(410) 479-0758(410) 479-0812 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Jul 19, 2018, May 24, 2018 and 2 more (5 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 1699023671), doing business as Walmart Pharmacy 10-3843, is a healthcare organization registered as a pharmacy in Denton, Maryland and active in the NPI registry since August 2012. The organization lists Kimberly Canonic, Senior Director Enrollment, as its authorized official.

NPPES Registry Identity

NPI1699023671
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address610 LEGION RDDenton, MD 21629-2040
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-9170 · Fax (479) 277-4331
Phone(410) 479-0758
Fax(410) 479-0812
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director Enrollment · (480) 853-0515
Enumeration DateAugust 22, 2012
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1699023671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P05803
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
610 LEGION RD, Denton, MD 21629
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3843

Other Identifiers 2

Medicaid678902100MD
Other2136649Pk

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 4

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.
396 services390 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.
348 services343 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
33 services33 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.
33 services33 patients

Other Providers at the Same Location NPPES 4

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

AMY BATDORF
Pharmacist
610 LEGION RD
DENTON, MD 21629
Caroline County (410) 479-0758
HANA YOON
Pharmacist
610 LEGION RD
DENTON, MD 21629
Caroline County (410) 479-0758
KEVIN HOAN YONG
Pharmacist
610 LEGION RD
DENTON, MD 21629
Caroline County (410) 479-0868
WAL-MART STORES EAST LP
Eyewear Supplier
610 LEGION RD
DENTON, MD 21629
Caroline County (410) 479-0539

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 1699023671. It was assigned to this organization in the NPPES registry on August 22, 2012. The provider is doing business as WalMart Pharmacy 10-3843.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 610 Legion Rd, Denton, MD 21629. The listed phone number is (410) 479-0758.

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

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

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 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.