Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Waterbury, Connecticut
1063439354- Practice location
- 910 Wolcott St, Waterbury, CT 06705-1317
- Phone
- 203-759-1637
- Fax
- —
- Last updated
- July 1, 2025
Wal-Mart Stores East LP is a healthcare organization based in Waterbury, CT. Wal-Mart Stores East LP practices in Waterbury, CT. The NPI Number for Wal-Mart Stores East LP is 1063439354 and holds a License No. PCY.0001813 (CT). The current practice location address for Wal-Mart Stores East LP is 910 Wolcott St, Waterbury, CT 06705-1317 and can be reached out via phone at 203-759-1637.
Provider Profile Details
- NPI Number
- 1063439354
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 910 Wolcott St, Waterbury, CT 06705-1317
- Phone Number
- 203-759-1637
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
- Other Names
- Wal-Mart Pharmacy 10-3548 (Doing Business As)
- Provider Enumeration Date
- July 16, 2006
- Last Update Date
- July 1, 2025
- Certification Date
- July 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 910 Wolcott St
Waterbury, CT 06705-1317 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-1317
- Phone Number
- 203-759-1637
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
- Phone Number
- 479-277-1242
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- PCY.0001813
- License State (3)
- CT
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wal-Mart Stores East LP?
The NPI number of Wal-Mart Stores East LP is 1063439354. It was assigned on July 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Stores East LP?
Wal-Mart Stores East LP is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in CT under license number PCY.0001813.
Where does Wal-Mart Stores East LP practice?
The practice location is 910 Wolcott St, Waterbury, CT 06705-1317. The office can be reached at 203-759-1637 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063439354 directly on the NPPES registry website.