Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Easley, SC, holding Type 2 (organization) NPI 1912924176 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912924176 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 115 ROLLING HILLS CIR, Easley, SC, 29640 |
| Phone | 8648559364 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-03 |
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 | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2738 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090366 | Other | — | PK |
| 727388 | Medicaid | SC | — |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1912924176 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 115 ROLLING HILLS CIR, Easley, SC, 29640
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992999494 | Tracy Hinson | Individual | Optometrist | Easley, SC |
| 1356765887 | Jacquelynn Budzyn | Individual | Pharmacist | Easley, SC |
| 1497163828 | Briana Stroud | Individual | Pharmacist | Easley, SC |
| 1427506427 | Jennifer Nguyen | Individual | Pharmacist | Easley, SC |
| 1811515216 | Tabitha Lovelace | Individual | Pharmacist | Easley, SC |
| 1548873979 | Tiffany Campbell | Individual | Pharmacist | Easley, SC |
| 1215669536 | Molly Glover | Individual | Optician | Easley, SC |
| 1902538630 | Robert Epperson | Individual | Optician | Easley, SC |
Verify this record
Cross-check NPI 1912924176 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-03.