Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Community/Retail Pharmacy in Ironwood, MI · enumerated 2008 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1740466176

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Registry record

Entity type Organization (Type 2)

Legal business name Wal-Mart Stores East Lp

Other name <Unavail>

Practice address 10305 Country Club Road, Ironwood, MI, 49938

Phone (906) 932-4191

Enumeration date Jan 16, 2008

Last updated in NPPES Jun 13, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 5301008794 (MI) Primary

Authorized official

Name Kimberly Canonic

Title Senior Director, Enrollment

Phone (480) 853-0515

Other identifiers

Identifier	Type	State	Issuer
2043626	Other	-	PK
3270827	Medicaid	MI	-
36226800	Medicaid	WI	-

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.

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Frequently asked questions

Where is Wal-Mart Stores East Lp located?

The practice location on file with NPPES is in Ironwood, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-13. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Wal-Mart Stores East, Lp Optician · Ironwood, MI NPI 1750550455 Sarah Fadhil Pharmacist · Ironwood, MI NPI 1083426704

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-13.