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) 957-7389.
Source: public NPPES record, last updated June 16, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1629339189
- Provider Type
- Organization
- Primary Specialty
- Community/Retail Pharmacy
- Enumeration Date
- May 31, 2012
- Last Updated
- June 16, 2025
Practice Location
- 3800 Dewey Ave
- Greece, NY 14616-2529
Phone: (585) 957-7389
Mailing Address
- 702 Sw 8Th St
- Bentonville, AR 72716-6209
Authorized Official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Specialties
- Community/Retail Pharmacy (3336C0003X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
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Medicare Part B Activity
Reported 175 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 27th percentile for Medicare service volume.
Lower volume than many peers.
Performs 39% fewer Medicare services than the peer median.
Higher than 32 of 120 peers.
- Activity Percentile
- 26.7%
- Rank by Services
- 88 of 120
- Total Services
- 175
- Est. Allowed Value
- $12,826.78
- Dataset Year
- 2024
- Drug Code Share
- 46.3%
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
45 services | $928.99
- 90480: Admn sarscov2 vacc 1 dose
33 services | $260.48
- G0009: Administration of pneumococcal vaccine
16 services | $275.78
Common Drug-Related Codes
- 90662: Influenza vaccine split virus, preservative free
30 services | $2,454.60
- 91320: Sarscv2 vac 30mcg trs-suc im
23 services | $3,489.64
- 90677: Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
15 services | $4,353.63
Organization Overview
Wal-Mart Stores East, LP is a wholly owned Walmart Inc. subsidiary doing business as Walmart and operating the Greece Dewey Ave Supercenter in Greece, New York. The store’s healthcare-related operations include a Walmart Pharmacy offering prescription refills, transfers, immunization scheduling, pharmacy delivery, and low-cost generic prescription options; the broader supercenter page also lists pharmacy, COVID immunizations, flu shots and immunizations, and a vision center among its local services.
Full Record
- NPI
- 1629339189
- 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
- 72716-6209
- Mailing Country
- US
- Mailing Phone
- (479) 277-1242
- Mailing Fax
- (479) 277-4331
- Practice Street Address
- 3800 Dewey Ave
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14616-2529
- Practice Country
- US
- Practice Phone
- (585) 957-7389
- Enumeration Date
- May 31, 2012
- Last Updated
- June 16, 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
- June 16, 2025
- Taxonomies
- Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X)
- Other Identifiers
- 03912672 (NY), 2135548 (Pk)