WAL-MART STORES EAST LP
NPI 1710904818
Pharmacy - Community/Retail Pharmacy in Bristol, VA

Active since July 16, 2006
13245 LEE HWY, BRISTOL, VA 24202(276) 466-0294 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, Feb 15, 2017, Dec 18, 2016 (3 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 1710904818), doing business as Wal-mart Pharmacy 10-2089, is a community/retail pharmacy in Bristol, Virginia and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.Information from the official NPPES registry record, last updated June 4, 2025.

NPPES Registry Identity

NPI1710904818
Entity TypeOrganization
Legal Business NameWAL-MART STORES EAST LP
Location Address13245 LEE HWYBristol, VA 24202-5963
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
NPI 1710904818 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

Licensed in VA · 0201003232

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;… Show more

Also Listed

Pharmacy

Taxonomy 333600000X · Suppliers

13245 LEE HWY, Bristol, VA 24202

Also on File with NPPES

Other Names1
Wal-mart Pharmacy 10-2089 (Doing Business As)
Other Identifiers3
8506281 (Medicaid, VA)
008506281 (Medicaid, VA)
2106295 (Other, Pk)
Last updated in NPPES on June 4, 2025 · 3 updates tracked since enumeration.

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 109 times for 109 patients

Administration of pneumococcal vaccine

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.

This service was performed 17 times for 17 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 104 times for 104 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 17 times for 17 patients

Reviews for WAL-MART STORES EAST LP

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacist
13245 LEE HWY
BRISTOL, VA 24202
Pharmacist
13245 LEE HWY
BRISTOL, VA 24202
Pharmacist
13245 LEE HWY
BRISTOL, VA 24202
Eyewear Supplier
13245 LEE HWY
BRISTOL, VA 24202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710904818, enumerated as an "organization" on July 16, 2006.

The provider is located at 13245 LEE HWY BRISTOL, VA 24202 and the phone number is (276) 466-0294.

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.