Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Idabel, OK, holding Type 2 (organization) NPI 1699792721 since 2006. The authorized official on file is Matthew Mcmullin, Director, Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699792721 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 1907 E WASHINGTON ST, Idabel, OK, 74745 |
| Phone | 5802863323 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2023-11-06 |
Authorized official
| Name | Matthew Mcmullin |
|---|---|
| Title | Director, Contracting |
| Phone | 4793718711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 254746 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074857 | Other | — | PK |
| 100243830A | Medicaid | OK | — |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1699792721 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1907 E WASHINGTON ST, Idabel, OK, 74745
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669346383 | Isabella Dibucci | Individual | Pharmacist | Idabel, OK |
Verify this record
Cross-check NPI 1699792721 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 type of organization is Wal-Mart Stores East Lp?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-06.