Active NPIOrganization

Wal-Mart Stores East LP

Pharmacy, Community/Retail Pharmacy in Mays Landing, New Jersey

NPI Number1972520096
Practice location
4620 Black Horse Pike, Mays Landing, NJ 08330-3213
Fax
—
Last updated
June 4, 2025

Wal-Mart Stores East LP is a healthcare organization based in Mays Landing, NJ. Wal-Mart Stores East LP practices in Mays Landing, NJ. The NPI Number for Wal-Mart Stores East LP is 1972520096 and holds a License No. 28RS00498500 (NJ). The current practice location address for Wal-Mart Stores East LP is 4620 Black Horse Pike, Mays Landing, NJ 08330-3213 and can be reached out via phone at 609-625-4411.

Provider Profile Details

NPI Number
1972520096
Provider Name
Wal-Mart Stores East LP
Provider Entity Type
Organization
Address
4620 Black Horse Pike, Mays Landing, NJ 08330-3213
Phone Number
609-625-4411
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
Other Names
Wal-Mart Pharmacy 10-2108 (Doing Business As)
Provider Enumeration Date
July 16, 2006
Last Update Date
June 4, 2025
Certification Date
June 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4620 Black Horse Pike
Mays Landing, NJ 08330-3213
Zip
08330-3213
Phone Number
609-625-4411
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
702 SW 8TH St
Bentonville, AR 72716-0445
City
Bentonville
State
AR
Zip
72716-0445

License Information

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
28RS00498500
License State (3)
NJ
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 Stores East LP?

The NPI number of Wal-Mart Stores East LP is 1972520096. It was assigned on July 16, 2006 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 28RS00498500.

Where does Wal-Mart Stores East LP practice?

The practice location is 4620 Black Horse Pike, Mays Landing, NJ 08330-3213. The office can be reached at 609-625-4411 (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 1972520096 directly on the NPPES registry website.

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