Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Fairhaven, Massachusetts
1649436387- Practice location
- 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627
- Phone
- 508-993-4250
- Fax
- —
- Last updated
- June 11, 2025
Wal-Mart Stores East LP is a healthcare organization based in Fairhaven, MA. Wal-Mart Stores East LP practices in Fairhaven, MA. The NPI Number for Wal-Mart Stores East LP is 1649436387 and holds a License No. DS3603 (MA). The current practice location address for Wal-Mart Stores East LP is 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627 and can be reached out via phone at 508-993-4250.
Provider Profile Details
- NPI Number
- 1649436387
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627
- Phone Number
- 508-993-4250
- 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 10-1906 (Doing Business As)
- Provider Enumeration Date
- August 1, 2008
- Last Update Date
- June 11, 2025
- Certification Date
- June 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Fairhaven Commons Way
Fairhaven, MA 02719-4627 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-4627
- Phone Number
- 508-993-4250
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
- Phone Number
- 508-993-8100
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- DS3603
- License State (2)
- MA
- 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. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Fairhaven, MA
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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 1649436387. It was assigned on August 1, 2008 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 MA under license number DS3603.
Where does Wal-Mart Stores East LP practice?
The practice location is 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627. The office can be reached at 508-993-4250 (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 1649436387 directly on the NPPES registry website.