WAL-MART STORES EAST LP
NPI 1699792929
Pharmacy - Community/Retail Pharmacy in Bowling Green, KY

Active since July 16, 2006
1201 MORGANTOWN RD, BOWLING GREEN, KY 42101(270) 780-9331 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2025, Feb 16, 2017, Dec 16, 2016 (3 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 1699792929), doing business as Walmart Pharmacy 10-5236, is a healthcare organization registered as a community/retail pharmacy in Bowling Green, Kentucky and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1699792929
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1201 MORGANTOWN RDBowling Green, KY 42101-9202
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1699792929 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 KY · P06981
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
1201 MORGANTOWN RD, Bowling Green, KY 42101

Other Names 1

Doing Business AsWalmart Pharmacy 10-5236

Other Identifiers 2

Other2034234Pk
Medicaid5400871900KY

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
125 services124 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.
116 services115 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.

Pharmacist
1201 MORGANTOWN RD
BOWLING GREEN, KY 42101
Pharmacist
1201 MORGANTOWN RD
BOWLING GREEN, KY 42101
Pharmacist
1201 MORGANTOWN RD
BOWLING GREEN, KY 42101
Eyewear Supplier
1201 MORGANTOWN RD
BOWLING GREEN, KY 42101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699792929, enumerated as an "organization" on July 16, 2006.

The provider is located at 1201 MORGANTOWN RD BOWLING GREEN, KY 42101 and the phone number is (270) 780-9331.

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.