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WAL-MART PHARMACY 10-3811
NPI 1710905401
Pharmacy - Community/Retail Pharmacy in Kimball, WV

Active since July 18, 2006
61 PLAZA DRIVE, KIMBALL, WV 24853(304) 585-7820 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wal-mart Pharmacy 10-3811 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART PHARMACY 10-3811 (NPI 1710905401) is a healthcare organization registered as a community/retail pharmacy in Kimball, West Virginia and active in the NPI registry since July 2006. The organization lists Laura Levine, Mgr Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1710905401
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address61 PLAZA DRIVEKimball, WV 24853
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(304) 585-7820
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialLaura LevineMgr Of Government Contracting · (479) 204-8550
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 11, 2013
✔ NPI 1710905401 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 WV · MP0552327
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
61 PLAZA DRIVE, Kimball, WV 24853
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3811

Other Identifiers 4

Medicare NSC4355052063
Medicaid552327WV
Other2111563Pk
Medicaid3810003883WV

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 1710905401. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Wal-Mart Pharmacy 10-3811.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 61 Plaza Drive, Kimball, WV 24853. The listed phone number is (304) 585-7820.

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.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.