NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Community/Retail Pharmacy in Florence, SC · enumerated 2014 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1497159305

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 804 S Cashua Dr, Florence, SC, 29501
Phone (843) 269-9980
Fax (843) 269-9981
Enumeration date Oct 21, 2014
Last updated in NPPES Jun 10, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 15575 (SC) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
2148792 Other - PK
715575 Medicaid SC -

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 → Validate an NPI →

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 2025-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Wal-Mart Stores East Lp located?
The practice location on file with NPPES is in Florence, SC.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.