Wal-Mart Stores East Lp

Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Pasadena, MD, holding Type 2 (organization) NPI 1801279062 since 2015. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.

✓ Active NPI ✓ Valid NPI checksum

NPI	1801279062
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores East Lp
Other name	<Unavail>
Practice address	8107 GOV RITCHIE HWY, Pasadena, MD, 21122
Phone	4106891508
Fax	4106891507
Enumeration date	2015-07-07
Last updated in NPPES	2025-06-13

Authorized official

Name	Kimberly Canonic
Title	Senior Director, Enrollment
Phone	4808530515

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	P06885	MD

Other identifiers

Identifier	Type	State	Issuer
911200600	Medicaid	MD	—
2154003	Other	—	PK

Copy-ready billing details

Provider: Wal-Mart Stores East Lp
NPI: 1801279062
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 8107 GOV RITCHIE HWY, Pasadena, MD, 21122

Providers at this address

NPI	Name	Type	Specialty	Location
1003416504	Mark Wyche	Individual	Pharmacist	Pasadena, MD

Verify this record

Cross-check NPI 1801279062 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 Pasadena, MD.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.