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WAL-MART STORES EAST LP
NPI 1710399795
Pharmacy - Community/Retail Pharmacy in Marietta, GA

Active since May 27, 2014
3101 ROSWELL RD, MARIETTA, GA 30062(678) 695-4961(678) 695-4962 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2025, Apr 10, 2023, Feb 16, 2017 and 1 more (4 updates tracked since 2015).

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 1710399795), doing business as Walmart Pharmacy 10-3069, is a healthcare organization registered as a community/retail pharmacy in Marietta, Georgia and active in the NPI registry since May 2014. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710399795
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address3101 ROSWELL RDMarietta, GA 30062-7621
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(678) 695-4961
Fax(678) 695-4962
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateMay 27, 2014
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1710399795 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 GA · PHRE010076
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
3101 ROSWELL RD, Marietta, GA 30062
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3069

Other Identifiers 2

Medicaid003152062AGA
Other2146458Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Wal-Mart Stores East LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East LP

DMEPOS supplier · Marietta, GA
⋮

Does not accept Medicare assignment

Wal-Mart Stores East LP 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)20504375
Medicare Participant SinceJuly 1, 2014
Supplier Location3101 Roswell RdMarietta, GA 30062
Phone(678) 695-4961
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
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 2

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

GEORGIA DENTAL PROFESSIONALS, PC
Dentist (General Practice)
3101 ROSWELL RD, SUITE 164
MARIETTA, GA 30062
Cobb County (678) 310-0330
DR. SAPNA JIWANI CHARANIA
Pharmacist
3101 ROSWELL RD
MARIETTA, GA 30062
Cobb County (678) 695-4961

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 1710399795. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is doing business as Walmart Pharmacy 10-3069.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 3101 Roswell Rd, Marietta, GA 30062. The listed phone number is (678) 695-4961.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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

No. As a Medicare medical equipment supplier, Wal-Mart Stores East LP 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 Medica and Moda Health Plan, Inc. 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 5, 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.