Wal-Mart Stores East Lp

Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Forest, VA, holding Type 2 (organization) NPI 1669865986 since 2015. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1669865986
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores East Lp
Other name	<Unavail>
Practice address	16807 FOREST RD, Forest, VA, 24551
Phone	4342096043
Fax	4342096047
Enumeration date	2015-03-11
Last updated in NPPES	2025-06-10

Authorized official

Name	Kimberly Canonic
Title	Senior Director, Enrollment
Phone	4802776348

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	201004648	VA

Other identifiers

Identifier	Type	State	Issuer
2150895	Other	—	PK

Copy-ready billing details

Provider: Wal-Mart Stores East Lp
NPI: 1669865986
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 16807 FOREST RD, Forest, VA, 24551

Providers at this address

NPI	Name	Type	Specialty	Location
1215537881	Clint Buyalos	Individual	Pharmacist	Forest, VA
1184225666	James Lenhart	Individual	Pharmacist	Forest, VA

Verify this record

Cross-check NPI 1669865986 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?

The practice location on file with NPPES is in Forest, VA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-10.