Wal-Mart Stores East, Lp

Wal-Mart Stores East, Lp is a healthcare organization registered as Eyewear Supplier in Jackson, MO, holding Type 2 (organization) NPI 1962412965 since 2006. The authorized official on file is Tammy Boyd, Contract Coordinator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1962412965
Entity type	Organization (Type 2)
Legal business name	Wal-Mart Stores East, Lp
Other name	<Unavail>
Practice address	3051 E JACKSON BLVD, Jackson, MO, 63755
Phone	5732433909
Enumeration date	2006-08-09
Last updated in NPPES	2025-09-11

Authorized official

Name	Tammy Boyd
Title	Contract Coordinator
Phone	4792771359

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
156FX1800X	Optician	Secondary	—	—
332H00000X	Eyewear Supplier	Primary	—	—

Copy-ready billing details

Provider: Wal-Mart Stores East, Lp
NPI: 1962412965
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 3051 E JACKSON BLVD, Jackson, MO, 63755

Providers at this address

NPI	Name	Type	Specialty	Location
1588681845	Wal-Mart Stores East Lp	Organization	Community/Retail Pharmacy	Jackson, MO
1962664151	Joel Allison	Individual	Optometrist	Jackson, MO
1619425782	Benjamin Buescher	Individual	Pharmacist	Jackson, MO
1417446154	Kelly Declerk	Individual	Pharmacist	Jackson, MO
1831677640	Jaclyn Hiter	Individual	Pharmacist	Jackson, MO
1235731886	Suzanne Hightower	Individual	Pharmacist	Jackson, MO

Verify this record

Cross-check NPI 1962412965 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Wal-Mart Stores East, Lp located?

The practice location on file with NPPES is in Jackson, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.