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WAL-MART STORES EAST LP
NPI 1942211461
Pharmacy - Community/Retail Pharmacy in Fort Wayne, IN

Active since August 10, 2006
7502 SOUTHTOWN XING, FORT WAYNE, IN 46816(260) 441-7083 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Feb 16, 2017, Dec 16, 2016 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 1942211461), doing business as Walmart Pharmacy 10-4231, is a healthcare organization registered as a community/retail pharmacy in Fort Wayne, Indiana and active in the NPI registry since August 2006. The organization lists Kimberly Canonic, Senior Director Enrollment, as its authorized official.

NPPES Registry Identity

NPI1942211461
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address7502 SOUTHTOWN XINGFort Wayne, IN 46816-2515
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(260) 441-7083
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director Enrollment · (480) 853-0515
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1942211461 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 IN · 60006018A
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
7502 SOUTHTOWN XING, Fort Wayne, IN 46816
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4231

Other Identifiers 2

Other2025465Pk
Medicaid200838550AIN

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 4

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.
46 services46 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.
45 services45 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
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.
11 services11 patients
Administration of pneumococcal vaccine G0009
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.
11 services11 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.

VICTORIA FUELLING PHARMD
Pharmacist
7502 SOUTHTOWN XING
FORT WAYNE, IN 46816
Allen County (260) 441-7083
WAL-MART STORES EAST, LP
Eyewear Supplier
7502 SOUTHTOWN XING
FORT WAYNE, IN 46816
Allen County (260) 441-7087
AWUDU IMORO PHARMD
Pharmacist
7502 SOUTHTOWN XING
FORT WAYNE, IN 46816
Allen County (260) 441-7083
DR. KAREN PAWLAK PHARMD
Pharmacist (Ambulatory Care)
7502 SOUTHTOWN XING
FORT WAYNE, IN 46816
Allen County (260) 441-7083

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 1942211461. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Walmart Pharmacy 10-4231.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 7502 Southtown Xing, Fort Wayne, IN 46816. The listed phone number is (260) 441-7083.

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 50 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 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.