Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Union, MO, holding Type 2 (organization) NPI 1215954573 since 2006. The authorized official on file is Matthew Mcmullin, Director, Contractor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215954573 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 1445 E CENTRAL CT, Union, MO, 63084 |
| Phone | 6365837958 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2023-11-06 |
Authorized official
| Name | Matthew Mcmullin |
|---|---|
| Title | Director, Contractor |
| Phone | 4793718711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2002009492 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047326 | Other | — | PK |
| 608107801 | Medicaid | MO | — |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1215954573 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1445 E CENTRAL CT, Union, MO, 63084
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033586193 | Rachel Kennon | Individual | Pharmacist | Union, MO |
| 1609230226 | Caitlyn Standley | Individual | Pharmacist | Union, MO |
| 1295346971 | Jenny Vo | Individual | Pharmacist | Union, MO |
| 1174123590 | Chase Gerlemann | Individual | Pharmacist | Union, MO |
| 1437752268 | Wayne Stegen | Individual | Pharmacist | Union, MO |
| 1659248367 | Paige Hall | Individual | Pharmacist | Union, MO |
Verify this record
Cross-check NPI 1215954573 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-06.