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Wal-Mart Stores East Lp

Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Alabaster, AL, holding Type 2 (organization) NPI 1629095922 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

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NPI 1629095922
Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 630 COLONIAL PROMENADE PKWY, Alabaster, AL, 35007
Phone 2056633411
Enumeration date 2006-07-16
Last updated in NPPES 2025-06-03

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone 4802776348

Taxonomy & classification

Taxonomy code Specialty Primary License State
333600000X Pharmacy Secondary
332B00000X Durable Medical Equipment & Medical Supplies Secondary
3336C0003X Community/Retail Pharmacy Primary 109997 AL

Other identifiers

Identifier Type State Issuer
100003381 Medicaid AL
1992537 Other PK
Copy-ready billing details
Provider: Wal-Mart Stores East Lp
NPI: 1629095922
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 630 COLONIAL PROMENADE PKWY, Alabaster, AL, 35007

Providers at this address

NPI Name Type Specialty Location
1013902501 James Webb Individual Optometrist Alabaster, AL
1205939485 Heather Webb Individual Optometrist Alabaster, AL
1427147271 Wal-Mart Stores East, Lp Organization Eyewear Supplier Alabaster, AL
1285163287 Laura Vizzina Individual Pharmacist Alabaster, AL
1629508411 Trina Defranco Individual Pharmacist Alabaster, AL
1598354490 Molly Gambill Individual Student in an Organized Health Care Education/Training Program Alabaster, AL

Verify this record

Cross-check NPI 1629095922 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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Wal-Mart Stores East Lp?
Wal-Mart Stores East Lp is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-03.