Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Lanoka Harbor, New Jersey
1710117015- Practice location
- 580 Route 9, Lanoka Harbor, NJ 08734-2210
- Phone
- 609-971-7468
- Fax
- —
- Last updated
- June 13, 2025
Wal-Mart Stores East LP is a healthcare organization based in Lanoka Harbor, NJ. Wal-Mart Stores East LP practices in Lanoka Harbor, NJ. The NPI Number for Wal-Mart Stores East LP is 1710117015 and holds a License No. 28RS00696500 (NJ). The current practice location address for Wal-Mart Stores East LP is 580 Route 9, Lanoka Harbor, NJ 08734-2210 and can be reached out via phone at 609-971-7468.
Provider Profile Details
- NPI Number
- 1710117015
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 580 Route 9, Lanoka Harbor, NJ 08734-2210
- Phone Number
- 609-971-7468
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-853-0515
- Other Names
- Walmart Pharmacy 10-5414 (Doing Business As)
- Provider Enumeration Date
- July 21, 2009
- Last Update Date
- June 13, 2025
- Certification Date
- June 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 580 Route 9
Lanoka Harbor, NJ 08734-2210 - City
- Lanoka Harbor
- State
- New Jersey
- Zip
- 08734-2210
- Phone Number
- 609-971-7468
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
- Phone Number
- 479-277-1238
- Fax Number
- 479-277-4331
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 28RS00696500
- License State (2)
- NJ
- 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 Stores East LP?
The NPI number of Wal-Mart Stores East LP is 1710117015. It was assigned on July 21, 2009 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 NJ under license number 28RS00696500.
Where does Wal-Mart Stores East LP practice?
The practice location is 580 Route 9, Lanoka Harbor, NJ 08734-2210. The office can be reached at 609-971-7468 (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 1710117015 directly on the NPPES registry website.