Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WAL-MART PUERTO RICO INC
NPI 1740203918
Pharmacy - Community/Retail Pharmacy in Mayaguez, PR

Active since July 26, 2006
975 AVE HOSTOS STE 2100, MAYAGUEZ MALL CARR 2, MAYAGUEZ, PR 00680(787) 265-1090(479) 277-4331 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Jun 5, 2025, Jul 19, 2018 and 4 more (7 updates tracked since 2015).

About Wal-mart Puerto Rico Inc NPPES

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

WAL-MART PUERTO RICO INC (NPI 1740203918), doing business as Walmart Pharmacy 10-2067, is a healthcare organization registered as a community/retail pharmacy in Mayaguez, Puerto Rico and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1740203918
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART PUERTO RICO INC
Location Address975 AVE HOSTOS STE 2100, MAYAGUEZ MALL CARR 2Mayaguez, PR 00680-1252
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Fax(479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 17, 20267 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1740203918 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 PR · 19-F-2163
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

Other Names 1

Doing Business AsWalmart Pharmacy 10-2067

Other Identifiers 1

Other2087246Pk

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Technician/Technologist (Optician)
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Technician/Technologist (Optician)
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Pharmacist
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Optometrist
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Technician/Technologist (Optician)
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Technician/Technologist (Optician)
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Pharmacist
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680
Optometrist
975 AVE HOSTOS STE 2100
MAYAGUEZ, PR 00680

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 Puerto Rico Inc's NPI number?

The NPI number for Wal-Mart Puerto Rico Inc is 1740203918. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Walmart Pharmacy 10-2067.

Where is Wal-Mart Puerto Rico Inc located?

Wal-Mart Puerto Rico Inc is located at 975 Ave Hostos Ste 2100 Mayaguez Mall Carr 2, Mayaguez, PR 00680. The listed phone number is (787) 265-1090.

What is Wal-Mart Puerto Rico Inc'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 Puerto Rico Inc 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 47 other insurers list Wal-Mart Puerto Rico Inc 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 Puerto Rico Inc was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.