Wal-Mart Stores East LP
Pharmacy in Beaufort, SC. Organization (NPI-2).
NPI number1508303330
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1508303330
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Jan 31, 2017
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 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 |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-7181 (Doing Business As)
Practice location
265 Sea Island PkwyBeaufort, SC 29907-1535
Phone 843-489-3215 · Fax 843-489-3214
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Phone 479-277-2500 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
Is something wrong?
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All 6 Pharmacy providers in Beaufort · All 1,521 providers in Beaufort
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