Wal-mart Stores East, Lp
Community/Retail Pharmacy
66 State Road 344, Edgewood
New Mexico, 87015-6849
505-286-3053 Wal-mart Stores East, Lp is a Community/Retail Pharmacy in Edgewood, New Mexico. It is located at 66 State Road 344, Edgewood and it's customer support contact number is 505-286-3053. The authorized person of Wal-mart Stores East, Lp 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 Stores East, Lp is PH00003003 for Community/Retail Pharmacy in New Mexico. Wal-mart Stores East, Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Stores East, Lp 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 Stores East, Lp 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 Stores East, Lp |
| Type: | Community/Retail Pharmacy |
| Location: | 66 State Road 344, Edgewood,
New Mexico, 87015-6849 |
| Phone: | 505-286-3053 |
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: | 1477735108 |
| NPI Enumeration Date: | 05 Dec, 2007 |
| NPI Last Update On: | 08 Jul, 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 Stores East, Lp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH00003003 | New Mexico | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 2059070 | Other | | Pk |
| 23007826 | Medicaid | New Mexico | |
Medicare Enrollment:
Wal-mart Stores East, Lp 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 |
| 6204749997 | O20100930093970 | Wal-mart Stores East Lp | DME SUPPLIER - PHARMACY |
Products Available:
Wal-mart Stores East, Lp 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 St,
Bentonville, Arkansas |
| Zip: | 72716-0445 |
| Phone Number: | 479-204-8550 |
| Fax Number: | 479-277-4331 |
Patients can reach Wal-mart Stores East, Lp at
66 State Road 344, Edgewood, New Mexico or can
call on customer care at 505-286-3053.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.