Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Providence, Rhode Island
1083779409- Practice location
- 51 Silver Spring St, Providence, RI 02904-2557
- Phone
- 401-272-5340
- Fax
- —
- Last updated
- June 19, 2025
Wal-Mart Stores East LP is a healthcare organization based in Providence, RI. Wal-Mart Stores East LP practices in Providence, RI. The NPI Number for Wal-Mart Stores East LP is 1083779409 and holds a License No. PHA00375 (RI). The current practice location address for Wal-Mart Stores East LP is 51 Silver Spring St, Providence, RI 02904-2557 and can be reached out via phone at 401-272-5340.
Provider Profile Details
- NPI Number
- 1083779409
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 51 Silver Spring St, Providence, RI 02904-2557
- Phone Number
- 401-272-5340
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-853-0515
- Other Names
- Wal-Mart Pharmacy 10-3301 (Doing Business As)
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- June 19, 2025
- Certification Date
- June 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Silver Spring St
Providence, RI 02904-2557 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-2557
- Phone Number
- 401-272-5340
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Specialty Pharmacy · 3336S0011X
- License Number (3)
- PHA00375
- License State (3)
- RI
- 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 1083779409. It was assigned on December 26, 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 RI under license number PHA00375.
Where does Wal-Mart Stores East LP practice?
The practice location is 51 Silver Spring St, Providence, RI 02904-2557. The office can be reached at 401-272-5340 (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 1083779409 directly on the NPPES registry website.