Active NPIOrganization

Wal-Mart Puerto Rico INC

Pharmacy, Community/Retail Pharmacy in Manati, Puerto Rico

NPI Number1588687651
Practice location
Carr 2 Km 45.8, Plaza Monte Real, Manati, PR 00674-4311
Fax
787-621-0490
Last updated
July 17, 2026

Wal-Mart Puerto Rico INC is a healthcare organization based in Manati, PR. Wal-Mart Puerto Rico INC practices in Manati, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1588687651 and holds a License No. 19-F-2189 (PR). The current practice location address for Wal-Mart Puerto Rico INC is Carr 2 Km 45.8, Plaza Monte Real, Manati, PR 00674-4311 and can be reached out via phone at 787-621-0488 and via fax at 787-621-0490.

Provider Profile Details

NPI Number
1588687651
Provider Name
Wal-Mart Puerto Rico INC
Provider Entity Type
Organization
Address
Carr 2 Km 45.8, Plaza Monte Real, Manati, PR 00674-4311
Phone Number
787-621-0488
Fax Number
787-621-0490
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
Other Names
Walmart Pharmacy 10-3716 (Doing Business As)
Provider Enumeration Date
July 26, 2006
Last Update Date
July 17, 2026
Certification Date
July 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 2 Km 45.8
Plaza Monte Real
Manati, PR 00674-4311
City
Manati
Zip
00674-4311
Phone Number
787-621-0488
Fax Number
787-621-0490
Manati, PR 00674Get directions →

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 (2)
Pharmacy · 333600000X
License Number (3)
19-F-2189
License State (3)
PR
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1588687651. It was assigned on July 26, 2006 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-2189.

Where does Wal-Mart Puerto Rico INC practice?

The practice location is Carr 2 Km 45.8, Plaza Monte Real, Manati, PR 00674-4311. The office can be reached at 787-621-0488 (phone) or 787-621-0490 (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 1588687651 directly on the NPPES registry website.

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