Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Willowick, OH, holding Type 2 (organization) NPI 1649297839 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649297839 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 33752 VINE ST, Willowick, OH, 44095 |
| Phone | 4402698828 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-12 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 020716500 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905131 | Medicaid | OH | — |
| 0905131 | Medicaid | OH | — |
| 2072827 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1649297839 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 33752 VINE ST, Willowick, OH, 44095
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447391552 | Nadia Rahman | Individual | Optometrist | Eastlake, OH |
| 1275133621 | Amanda Kashiwsky | Individual | Pharmacist | Eastlake, OH |
| 1972103802 | Daniel Kovach | Individual | Pharmacist | Willowick, OH |
| 1083214860 | Lori Militello | Individual | Pharmacist | Willowick, OH |
| 1447957444 | Kimberly Romischer | Individual | Optician | Willowick, OH |
| 1427755305 | Kathy Vanek | Individual | Optician | Willowick, OH |
| 1255039681 | Lyudmila Levak | Individual | Optician | Willowick, OH |
| 1083392443 | Elizabeth Marino | Individual | Optician | Willowick, OH |
Verify this record
Cross-check NPI 1649297839 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
How current is this record?
Where is Wal-Mart Stores East Lp located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-12.