Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Springfield, MO, holding Type 2 (organization) NPI 1497772750 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497772750 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 2021 E INDEPENDENCE ST, Springfield, MO, 65804 |
| Phone | 4178862645 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-05 |
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 | 2002009339 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047197 | Other | — | PK |
| 607888500 | Medicaid | MO | — |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1497772750 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2021 E INDEPENDENCE ST, Springfield, MO, 65804
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437160900 | Kristen Woods | Individual | Optometrist | Springfield, MO |
| 1962415273 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Springfield, MO |
| 1205909397 | National Hearing Centers | Organization | Audiologist-Hearing Aid Fitter | Springfield, MO |
| 1780936302 | Lori Chaffin | Individual | Family Nurse Practitioner | Springfield, MO |
| 1700212354 | Shelley Bird | Individual | Family Nurse Practitioner | Springfield, MO |
| 1710464151 | Brad Brown | Individual | Family Nurse Practitioner | Springfield, MO |
| 1124628508 | Telina Horton | Individual | Pharmacist | Springfield, MO |
| 1154922995 | Michael Buchta | Individual | Pharmacist | Springfield, MO |
Verify this record
Cross-check NPI 1497772750 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
What is the NPI number for Wal-Mart Stores East Lp?
Who is the authorized official for Wal-Mart Stores East Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-05.