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Wal-Mart Stores East Lp

Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Hamden, CT, holding Type 2 (organization) NPI 1245257534 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1245257534
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 2300 DIXWELL AVE, Hamden, CT, 06514
Phone 2032302841
Enumeration date 2006-07-16
Last updated in NPPES 2025-07-01

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone 4802776348

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary PCY1809 CT

Other identifiers

Identifier Type State Issuer
004224375 Medicaid CT
2002438 Other PK
940004224375 Medicaid CT
Copy-ready billing details
Provider: Wal-Mart Stores East Lp
NPI: 1245257534
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2300 DIXWELL AVE, Hamden, CT, 06514

Providers at this address

NPI Name Type Specialty Location
1386772606 James Weston Individual Optometrist Hamden, CT
1396873626 Hamden Eye Associates, P.C. Organization Optometrist Hamden, CT
1871621193 Thomas Conrod Individual Optometrist Hamden, CT
1164896841 East Haven Dental LLC Organization General Practice Dentistry Hamden, CT
1770025512 Parneet Bajwa Individual Dentist Hamden, CT
1164935292 Robert Dowling Individual Pharmacist Hamden, CT
1841704327 Lori Porzio Individual Pharmacist Hamden, CT
1760021117 Hamden Dixwell Family Dental Organization Dental Clinic/Center Hamden, CT

Verify this record

Cross-check NPI 1245257534 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?
The NPI for Wal-Mart Stores East Lp is 1245257534, a Type 2 (organization) record in the CMS NPPES registry.
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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-01.