Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Community/Retail Pharmacy in Ava, MO · enumerated 2006 · authorized official Matthew Mcmullin, Director, Contracting.

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

National Provider Identifier

1558389056

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Wal-Mart Stores East Lp

Other name <Unavail>

Practice address 1309 Nw 12th Ave, Ava, MO, 65608

Phone (417) 683-4708

Enumeration date Jul 17, 2006

Last updated in NPPES Nov 6, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 2002009527 (MO) Primary

Authorized official

Name Matthew Mcmullin

Title Director, Contracting

Phone (479) 371-8711

Other identifiers

Identifier	Type	State	Issuer
2051415	Other	-	PK
603073909	Medicaid	MO	-

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

Where is Wal-Mart Stores East Lp located?

The practice location on file with NPPES is in Ava, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Kory Charpentier Pharmacist · Ava, MO NPI 1922519909 Stacie Ely Pharmacist · Ava, MO NPI 1154922052

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-06.