Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Pisgah Forest, NC. Organization (NPI-2).
NPI number1033136296
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1033136296
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 7997 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-1795 (Doing Business As)
Practice location
177 Forest Gate DrPisgah Forest, NC 28768-7903
Phone 828-885-7904 · Fax 828-884-3442
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1240 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Pisgah Forest, NC
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.