Active NPIOrganization

Wal-Mart Puerto Rico INC

Pharmacy, Community/Retail Pharmacy in Ponce, Puerto Rico

NPI Number1598788671
Practice location
3305 Ave Baramaya Ste 100, Ponce, PR 00728-2777
Fax
479-277-4331
Last updated
July 17, 2026

Wal-Mart Puerto Rico INC is a healthcare organization based in Ponce, PR. Wal-Mart Puerto Rico INC practices in Ponce, PR. The NPI Number for Wal-Mart Puerto Rico INC is 1598788671 and holds a License No. 18F2608 (PR). The current practice location address for Wal-Mart Puerto Rico INC is 3305 Ave Baramaya Ste 100, Ponce, PR 00728-2777 and can be reached out via phone at 787-709-4036 and via fax at 479-277-4331.

Provider Profile Details

NPI Number
1598788671
Provider Name
Wal-Mart Puerto Rico INC
Provider Entity Type
Organization
Address
3305 Ave Baramaya Ste 100, Ponce, PR 00728-2777
Phone Number
787-709-4036
Fax Number
479-277-4331
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
Other Names
Walmart Pharmacy 10-2026 (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
3305 Ave Baramaya Ste 100
Ponce, PR 00728-2777
City
Ponce
Zip
00728-2777
Phone Number
787-709-4036
Fax Number
479-277-4331
Ponce, PR 00728Get 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)
18F2608
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 1598788671. 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 18F2608.

Where does Wal-Mart Puerto Rico INC practice?

The practice location is 3305 Ave Baramaya Ste 100, Ponce, PR 00728-2777. The office can be reached at 787-709-4036 (phone) or 479-277-4331 (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 1598788671 directly on the NPPES registry website.

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