Wal-Mart Puerto Rico INC
Pharmacy, Community/Retail Pharmacy in Canovanas, Puerto Rico
1194988709- Practice location
- Plaza Canovanas Hwy 3 Int New Rt 66, Canovanas, PR 00729
- Phone
- 787-957-2715
- Fax
- —
- Last updated
- July 17, 2026
Wal-Mart Puerto Rico INC is a healthcare organization based in Canovanas, PR. Wal-Mart Puerto Rico INC practices in Canovanas, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1194988709 and holds a License No. 18-P-2535 (PR). The current practice location address for Wal-Mart Puerto Rico INC is Plaza Canovanas Hwy 3 Int New Rt 66, Canovanas, PR 00729 and can be reached out via phone at 787-957-2715.
Provider Profile Details
- NPI Number
- 1194988709
- Provider Name
- Wal-Mart Puerto Rico INC
- Provider Entity Type
- Organization
- Address
- Plaza Canovanas Hwy 3 Int New Rt 66, Canovanas, PR 00729
- Phone Number
- 787-957-2715
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
- Other Names
- Walmart Pharmacy 10-5802 (Doing Business As)
- Provider Enumeration Date
- July 3, 2008
- Last Update Date
- July 17, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Plaza Canovanas Hwy 3 Int New Rt 66
Canovanas, PR 00729 - City
- Canovanas
- State
- Puerto Rico
- Zip
- 00729
- Phone Number
- 787-957-2715
Provider Business Mailing Address Details
- Address
- 1 Customer Dr
Ms 0445
Bentonville, AR 72716-6209 - City
- Bentonville
- State
- AR
- Zip
- 72716-6209
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 18-P-2535
- License State (2)
- PR
- Taxonomy (2)
- 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 Puerto Rico INC?
The NPI number of Wal-Mart Puerto Rico INC is 1194988709. It was assigned on July 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Puerto Rico INC?
Wal-Mart Puerto Rico INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in PR under license number 18-P-2535.
Where does Wal-Mart Puerto Rico INC practice?
The practice location is Plaza Canovanas Hwy 3 Int New Rt 66, Canovanas, PR 00729. The office can be reached at 787-957-2715 (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 1194988709 directly on the NPPES registry website.