Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Pharmacy in Laurel, MD, holding Type 2 (organization) NPI 1023035300 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023035300 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 3549 RUSSETT GRN E, Laurel, MD, 20724 |
| Phone | 3016040148 |
| Fax | 3016040413 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-06 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4802776348 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | P01836 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415204200 | Medicaid | MD | — |
| 2034864 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1023035300 Taxonomy: 333600000X (Pharmacy) Address: 3549 RUSSETT GRN E, Laurel, MD, 20724
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518210640 | Dr Claudia L Blemard Optometrist LLC | Organization | Optometrist | Laurel, MD |
| 1780284158 | Christiana Duodu | Individual | Pharmacist | Laurel, MD |
| 1700486578 | Joseph Abegunde | Individual | Pharmacist | Laurel, MD |
Verify this record
Cross-check NPI 1023035300 against the authoritative CMS record: view Wal-Mart Stores East Lp on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Wal-Mart Stores East Lp?
Who is the authorized official for Wal-Mart Stores East Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-06.