Wal-mart Puerto Rico Inc
Community/Retail Pharmacy
150 Carr 940 Ste 180, Fajardo
Puerto Rico, 00738-3653
787-801-0500 787-801-0501
Wal-mart Puerto Rico Inc is a Community/Retail Pharmacy in Fajardo, Puerto Rico. It is located at 150 Carr 940 Ste 180, Fajardo and it's customer support contact number is 787-801-0500. The authorized person of Wal-mart Puerto Rico Inc is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-853-0515. Active license number of Wal-mart Puerto Rico Inc is 19-F-1721 for Community/Retail Pharmacy in Puerto Rico. Wal-mart Puerto Rico Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Puerto Rico Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Wal-mart Puerto Rico Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Wal-mart Puerto Rico Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 150 Carr 940 Ste 180, Fajardo,
Puerto Rico, 00738-3653 |
| Phone: | 787-801-0500 |
| Fax: | 787-801-0501 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kimberly Canonic |
| Position: | Senior Director, Enrollment |
| Contact Number: | 480-853-0515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1326065574 |
| NPI Enumeration Date: | 16 Jul, 2006 |
| NPI Last Update On: | 16 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Puerto Rico Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 19-F-1721 | Puerto Rico | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2086512 | Other | | Pk |
Medicare Enrollment:
Wal-mart Puerto Rico Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1850508573 | O20140130001758 | Wal-mart Puerto Rico Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Wal-mart Puerto Rico Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Enteral Nutrients |
| • Ostomy Supplies | • Prosthetic Lenses: Conventional Contact Lenses |
| • Prosthetic Lenses: Conventional Eyeglasses | • Surgical Dressings |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 702 Sw 8th Street,
Bentonville, Arkansas |
| Zip: | 72716-0445 |
| Phone Number: | -- |
Patients can reach Wal-mart Puerto Rico Inc at
150 Carr 940 Ste 180, Fajardo, Puerto Rico or can
call on customer care at 787-801-0500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.