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Wal-Mart Puerto Rico Inc

Community/Retail Pharmacy in Ponce, PR · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598788671

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Puerto Rico Inc
Practice address 3305 Ave Baramaya Ste 100, Ponce, PR, 00728
Fax (479) 277-4331
Enumeration date Jul 26, 2006
Last updated in NPPES Jun 6, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 18F2608 (PR) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment

Other identifiers

Identifier Type State Issuer
2086948 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-06. Verify at npiregistry.cms.hhs.gov.
Where is Wal-Mart Puerto Rico Inc located?
The practice location on file with NPPES is in Ponce, PR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-06.