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Wal-Mart Stores East Lp

Community/Retail Pharmacy in Fulton, KY · enumerated 2006 · authorized official Matthew Mcmullin, Director, Contracting.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265459598

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 1405 Middle Rd, Fulton, KY, 42041
Phone (270) 472-9802
Enumeration date Jul 16, 2006
Last updated in NPPES Dec 1, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License P02579 (KY) Primary

Authorized official

Name Matthew Mcmullin
Title Director, Contracting
Phone (479) 371-8711

Other identifiers

Identifier Type State Issuer
5402967300 Medicaid KY -
2031886 Other - PK
5400720800 Medicaid KY -

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Wal-Mart Stores East Lp?
Wal-Mart Stores East Lp is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-01.