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WAL-MART STORES EAST LP
NPI 1720206469
Pharmacy - Community/Retail Pharmacy in Macedon, NY

Active since April 20, 2007
425 ROUTE 31, MACEDON, NY 14502(315) 986-7153 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Feb 20, 2017, Dec 18, 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 1720206469), doing business as Wal-mart Pharmacy 10-3842, is a healthcare organization registered as a community/retail pharmacy in Macedon, New York and active in the NPI registry since April 2007. The organization lists Kimberly Canonic, Senior Director Enrollment, as its authorized official.

NPPES Registry Identity

NPI1720206469
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address425 ROUTE 31Macedon, NY 14502-9108
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(315) 986-7153
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director Enrollment · (480) 853-0515
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1720206469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 28361
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
425 ROUTE 31, Macedon, NY 14502
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3842

Other Identifiers 2

Medicaid02892006NY
Other2069070Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 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.
49 services49 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.
43 services43 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.

WAL-MART STORES, EAST, LP
Eyewear Supplier
425 ROUTE 31
MACEDON, NY 14502
Wayne County (315) 986-1584
MICHAEL P BETTINI
Pharmacist
425 ROUTE 31
MACEDON, NY 14502
Wayne County (585) 729-3204
DR. SONYA M NASH PHARMD
Pharmacist
425 ROUTE 31
MACEDON, NY 14502
Wayne County (315) 986-7153
MR. SZE-KING IP B.S.
Pharmacist
425 ROUTE 31
MACEDON, NY 14502
Wayne County (315) 986-7153

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 1720206469. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Wal-Mart Pharmacy 10-3842.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 425 Route 31, Macedon, NY 14502. The listed phone number is (315) 986-7153.

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.

What insurance does Wal-Mart Stores East LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers 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 July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.