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 1508115726 since 2012. The authorized official on file is Matthew Mcmullin, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508115726 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East , Lp |
| Other name | <Unavail> |
| Practice address | 3536 W MOUNT VERNON ST, Springfield, MO, 65802 |
| Phone | 4176162674 |
| Enumeration date | 2012-09-04 |
| Last updated in NPPES | 2024-05-30 |
Authorized official
| Name | Matthew Mcmullin |
|---|---|
| Title | Director |
| Phone | 4793718711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2012034758 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136760 | Other | — | PK |
| 1508115726 | Medicaid | MO | — |
Copy-ready billing details
Provider: Wal-Mart Stores East , Lp NPI: 1508115726 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3536 W MOUNT VERNON ST, Springfield, MO, 65802
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063012961 | Kevin Delong | Individual | Pharmacist | Springfield, MO |
| 1265233571 | Ame Patel | Individual | Pharmacist | Springfield, MO |
Verify this record
Cross-check NPI 1508115726 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 2024-05-30.