NPI

Wal-Mart Stores East LP

Doing business as Walmart Pharmacy 10-1190. Phone (859) 986-3113 · NPI 1356368674

Read from the NPPES registry on October 24, 2026.

Walmart Pharmacy 10-1190 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2006-07-16
Last updated
2023-08-28

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Specialties

Licenses

License KY
PO2478

Location

Practice location
120 Jill Dr
City
Berea KY
Postal code
40403-1677
Phone
(859) 986-3113

Organization contact

Name
Sarah Little
Title
Director of Healthcare Contracting
Phone
(479) 277-2500

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Berea, KY. 8 with this primary taxonomy in the public file.

Other NPIs in Berea, KY. 426 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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