Organization · Type 2 NPI

Wal-Mart Stores East LP

Pharmacy · Hagerstown, MD

NPI number 1528507654 Active

Practice location

10420 Walmart Dr
Hagerstown, MD 21740-5790

Call (301) 739-7597 Map

Fax (301) 739-7630

Mailing address

702 SW 8th St, Mailstop 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	P07516 (MD)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Another provider at this address

Hao Michelle Wu, PharmDPharmacist Hagerstown, MD NPI 1376144709

Other pharmacy providers in Hagerstown

See all in Hagerstown →

NPI record

NPI: 1528507654
Entity type: Organization (Type 2)
Issued: Feb 22, 2017
Last updated: Jun 12, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-2790 · doing business as
Walmart Pharmacy 10-2790 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 853-0515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1528507654

Wal-Mart Stores East LP's National Provider Identifier is 1528507654, issued on Feb 22, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Hagerstown, MD. The record was last updated on Jun 12, 2025.