WAL-MART STORES EAST LP
NPI 1699213173
Pharmacy in Prairieville, LA

Active since February 06, 2017
15047 AIRLINE HWY, PRAIRIEVILLE, LA 70769(225) 744-8409(225) 744-8411 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2025, Apr 21, 2017, Feb 6, 2017 (3 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 1699213173), doing business as Walmart Pharmacy 10-5310, is a healthcare organization registered as a pharmacy in Prairieville, Louisiana and active in the NPI registry since February 2017. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1699213173
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address15047 AIRLINE HWYPrairieville, LA 70769
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331
Fax(225) 744-8411
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateFebruary 6, 2017
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1699213173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in LA · PHY.007459-RC
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
15047 AIRLINE HWY, Prairieville, LA 70769

Other Names 1

Doing Business AsWalmart Pharmacy 10-5310

Other Identifiers 1

Other2168009Pk

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 19 times for 19 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 17 times for 17 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20498609
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Reviews for WAL-MART STORES EAST LP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
15047 AIRLINE HWY
PRAIRIEVILLE, LA 70769
Pharmacist
15047 AIRLINE HWY
PRAIRIEVILLE, LA 70769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699213173, enumerated as an "organization" on February 06, 2017.

The provider is located at 15047 AIRLINE HWY PRAIRIEVILLE, LA 70769 and the phone number is (225) 744-8409.

Pharmacy with taxonomy code 333600000X.

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