National Provider Identifier
Wal-Mart Stores East , LP
Wal-Mart Stores East , LP is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Greece, NY and a listed phone number of (585) 227-1210.
Source: public NPPES record, last updated July 11, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1598782732
- Provider Type
- Organization
- Primary Specialty
- Community/Retail Pharmacy
- Enumeration Date
- July 16, 2006
- Last Updated
- July 11, 2025
Practice Location
- 100 Elmridge Center Dr
- Greece, NY 14626-3459
Phone: (585) 227-1210
Mailing Address
- 702 Sw 8Th St
- Bentonville, AR 72716-0445
Authorized Official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Specialties
- Community/Retail Pharmacy (3336C0003X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
- Pharmacy (333600000X)
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Medicare Part B Activity
Reported 95 Medicare fee-for-service service lines in 2024.
Peer comparison
Compared to Pharmacy providers in the Rochester, NY metro area.
This provider is in the 12th percentile for Medicare service volume.
Lower volume than many peers.
Performs 67% fewer Medicare services than the peer median.
Higher than 15 of 120 peers.
- Activity Percentile
- 12.5%
- Rank by Services
- 105 of 120
- Total Services
- 95
- Est. Allowed Value
- $5,229.68
- Dataset Year
- 2024
- Drug Code Share
- 43.2%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Pharmacy classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Pharmacy across the Rochester, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 2,675 total Medicare services.
Top Clinical Services
- G0008: Administration of influenza virus vaccine
29 services | $605.57
- 90480: Admn sarscov2 vacc 1 dose
25 services | $312.18
Common Drug-Related Codes
- 90662: Influenza vaccine split virus, preservative free
26 services | $2,117.43
- 91320: Sarscv2 vac 30mcg trs-suc im
15 services | $2,194.50
Organization Overview
Wal-Mart Stores East operates the Pharmacy at Walmart #1610’s Greece Elmridge Center Drive Store in Greece, New York. The location provides retail pharmacy services such as prescription refills and transfers, vaccine scheduling, low-cost generic prescriptions, pet prescriptions, and pharmacy delivery options. The broader store also lists health-related services including a pharmacy, immunizations, and a vision center on its official store page. Walmart describes itself as a people-led, tech-powered omnichannel retailer serving customers through stores and digital channels.
Full Record
- NPI
- 1598782732
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East , LP
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 702 Sw 8Th St
- Mailing City
- Bentonville
- Mailing State
- AR
- Mailing ZIP Code
- 72716-0445
- Mailing Country
- US
- Practice Street Address
- 100 Elmridge Center Dr
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14626-3459
- Practice Country
- US
- Practice Phone
- (585) 227-1210
- Enumeration Date
- July 16, 2006
- Last Updated
- July 11, 2025
- Authorized Official Last Name
- Canonic
- Authorized Official First Name
- Kimberly
- Authorized Official Title
- Senior Director, Enrollment
- Authorized Official Phone
- (480) 853-0515
- Organization Subpart
- No
- Certification Date
- July 11, 2025
- Taxonomies
- Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X), Pharmacy (333600000X)
- Other Identifiers
- 1249449 (NY), 2067020 (Pk)