Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Community/Retail Pharmacy in Warner Robins, GA · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1356369839

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Registry record

Entity type Organization (Type 2)

Legal business name Wal-Mart Stores East Lp

Other name <Unavail>

Practice address 502 Booth Rd, Warner Robins, GA, 31088

Phone (478) 918-0678

Enumeration date Jul 17, 2006

Last updated in NPPES Jul 8, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009012 (GA) Primary

Authorized official

Name Kimberly Canonic

Title Senior Director, Enrollment

Phone (480) 853-0515

Other identifiers

Identifier	Type	State	Issuer
2016256	Other	-	PK
690968488A	Medicaid	GA	-
PHRE009012	Medicaid	GA	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-08. Verify at npiregistry.cms.hhs.gov.

Where is Wal-Mart Stores East Lp located?

The practice location on file with NPPES is in Warner Robins, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-08.