Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Puerto Rico Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1497022438

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in San Juan, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2011.

Licensed in
PR
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

PR-2 Km 2.2 Kennedy Ave Marginal John F Kennedy
San Juan, PR 00920-1715
Phone: (787) 522-3601
Fax: (787) 522-3609

No coordinates on file. Search this address in Google Maps

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 19-F-2003 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1497022438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Sam'S Pharmacy 10-4866
NPI enumeratedNovember 18, 2011
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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