Wal-Mart Stores East, Lp
Wal-Mart Stores East, Lp is a healthcare organization registered as Community/Retail Pharmacy in Eldon, MO, holding Type 2 (organization) NPI 1538187026 since 2006. The authorized official on file is Kimberly Canonic, Senior Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538187026 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East, Lp |
| Other name | <Unavail> |
| Practice address | 1802 S BUSINESS 54, Eldon, MO, 65026 |
| Phone | 5733921863 |
| Enumeration date | 2006-07-17 |
| Last updated in NPPES | 2026-03-02 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2002009306 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602811507 | Medicaid | MO | — |
| 2051200 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East, Lp NPI: 1538187026 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1802 S BUSINESS 54, Eldon, MO, 65026
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013263490 | Jessica Hendrickson | Individual | Pharmacist | Eldon, MO |
| 1427488907 | Connie Harrison | Individual | Pharmacist | Eldon, MO |
| 1063888543 | Jeanell Bertels | Individual | Pharmacist | Eldon, MO |
| 1881294460 | Emily Schubert | Individual | Pharmacist | Eldon, MO |
| 1255932844 | Melissa Sample | Individual | Pharmacist | Eldon, MO |
| 1306627872 | Calli Kempker | Individual | Pharmacist | Eldon, MO |
| 1477384691 | Carey Cadwallader | Individual | Pharmacy Technician | Eldon, MO |
Verify this record
Cross-check NPI 1538187026 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-03-02.