NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Community/Retail Pharmacy in Fallston, MD · enumerated 2011 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1104120369

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 303 Fallston Blvd, Fallston, MD, 21047
Phone (410) 877-7573
Enumeration date Jan 3, 2011
Last updated in NPPES Jul 8, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License P05446 (MD) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
2128351 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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Wal-Mart Stores East Lp?
NPPES lists Kimberly Canonic (Senior Director, Enrollment) as the authorized official for this organization.
What is the NPI number for Wal-Mart Stores East Lp?
The NPI for Wal-Mart Stores East Lp is 1104120369, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-08.