Wal-Mart Puerto Rico INC
Pharmacy, Community/Retail Pharmacy in San Juan, Puerto Rico
1497022438- Practice location
- Pr-2 Km 2.2 Kennedy Ave, Marginal John F Kennedy, San Juan, PR 00920-1715
- Phone
- 787-522-3601
- Fax
- 787-522-3609
- Last updated
- July 17, 2026
Wal-Mart Puerto Rico INC is a healthcare organization based in San Juan, PR. Wal-Mart Puerto Rico INC practices in San Juan, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1497022438 and holds a License No. 19-F-2003 (PR). The current practice location address for Wal-Mart Puerto Rico INC is Pr-2 Km 2.2 Kennedy Ave, Marginal John F Kennedy, San Juan, PR 00920-1715 and can be reached out via phone at 787-522-3601 and via fax at 787-522-3609.
Provider Profile Details
- NPI Number
- 1497022438
- Provider Name
- Wal-Mart Puerto Rico INC
- Provider Entity Type
- Organization
- Address
- Pr-2 Km 2.2 Kennedy Ave, Marginal John F Kennedy, San Juan, PR 00920-1715
- Phone Number
- 787-522-3601
- Fax Number
- 787-522-3609
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-853-0515
- Other Names
- Sam'S Pharmacy 10-4866 (Doing Business As)
- Provider Enumeration Date
- November 18, 2011
- Last Update Date
- July 17, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Pr-2 Km 2.2 Kennedy Ave
Marginal John F Kennedy
San Juan, PR 00920-1715 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00920-1715
- Phone Number
- 787-522-3601
- Fax Number
- 787-522-3609
Provider Business Mailing Address Details
- Address
- 1 Customer Dr
Ms 0445
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 19-F-2003
- 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 1497022438. It was assigned on November 18, 2011 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 19-F-2003.
Where does Wal-Mart Puerto Rico INC practice?
The practice location is Pr-2 Km 2.2 Kennedy Ave, Marginal John F Kennedy, San Juan, PR 00920-1715. The office can be reached at 787-522-3601 (phone) or 787-522-3609 (fax).
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 1497022438 directly on the NPPES registry website.