Wal-mart Stores East, Lp

Pharmacy Accepts Medicare


  
  11560 N Tryon St, Charlotte
North Carolina, 28262-0000

 980-428-8133    980-428-8132
Wal-mart Stores East, Lp is a Pharmacy in Charlotte, North Carolina. It is located at 11560 N Tryon St, Charlotte and it's customer support contact number is 980-428-8133. 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 480-277-6348. Active license number of Wal-mart Stores East, Lp is 13058 for Pharmacy in North Carolina. 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 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 located.


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: Pharmacy
Location:11560 N Tryon St, Charlotte,
North Carolina, 28262-0000
Phone:980-428-8133
Fax:980-428-8132
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: 480-277-6348
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: 1689122905
NPI Enumeration Date: 15 Sep, 2016
NPI Last Update On: 09 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 Stores East, Lp are as mentioned below.
SpecializationLicense NumberStateStatus
Pharmacy 13058North CarolinaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Community/Retail Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1689122905MedicaidNorth Carolina
2163692OtherPk
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 NameMedicare Entity Type
6204749997O20170131002890Wal-mart Stores East LpDME SUPPLIER - PHARMACY
Products Available:
Wal-mart Stores East, Lp has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • 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, Ms 0445
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: 479-204-8550
    Fax Number: 479-204-8550
    Patients can reach Wal-mart Stores East, Lp at 11560 N Tryon St, Charlotte, North Carolina or can call on customer care at 980-428-8133.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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