Wal-Mart Stores East Lp

Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Springfield, TN, holding Type 2 (organization) NPI 1407873680 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1407873680
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores East Lp
Other name	<Unavail>
Practice address	3360 TOM AUSTIN HWY, Springfield, TN, 37172
Phone	6153847348
Fax	6153842011
Enumeration date	2006-07-16
Last updated in NPPES	2025-05-30

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	C1998	TN

Other identifiers

Identifier	Type	State	Issuer
1454016	Medicaid	TN	—
2090680	Other	—	PK

Copy-ready billing details

Provider: Wal-Mart Stores East Lp
NPI: 1407873680
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 3360 TOM AUSTIN HWY, Springfield, TN, 37172

Providers at this address

NPI	Name	Type	Specialty	Location
1790875334	Wal-Mart Stores East, Lp	Organization	Eyewear Supplier	Springfield, TN
1386867158	Larry Fletcher	Individual	Optometrist	Springfield, TN
1023485166	Jason Wheat	Individual	Pharmacist	Springfield, TN

Verify this record

Cross-check NPI 1407873680 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

Where is Wal-Mart Stores East Lp located?

The practice location on file with NPPES is in Springfield, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-30.