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Wal-Mart Stores East Lp

Pharmacy in Abingdon, VA · enumerated 2016 · authorized official Matthew Mcmullin, Director, Contracting.

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

National Provider Identifier

1396291647

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 16032 15 Mile Blvd, Abingdon, VA, 24211
Phone (276) 619-5748
Fax (276) 619-8331
Enumeration date Aug 28, 2016
Last updated in NPPES Dec 1, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 0201004741 (VA) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
1396291647 Medicaid VA -
2164040 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.

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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 2023-12-01. Verify at npiregistry.cms.hhs.gov.
Where is Wal-Mart Stores East Lp located?
The practice location on file with NPPES is in Abingdon, VA.

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