Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Lees Summit, MO, holding Type 2 (organization) NPI 1962429282 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962429282 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 1000 NE SAM WALTON LN, Lees Summit, MO, 64086 |
| Phone | 8165252750 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-06-02 |
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 | 2002009469 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601371685 | Medicaid | MO | — |
| 2050413 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1962429282 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1000 NE SAM WALTON LN, Lees Summit, MO, 64086
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700897519 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Lees Summit, MO |
| 1376616516 | Missouri Hearing Associate LLC | Organization | Audiologist-Hearing Aid Fitter | Lees Summit, MO |
| 1366569709 | Kevin Atwood | Individual | Optometrist | Lees Summit, MO |
| 1033588066 | Mannie Trujillo | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Lees Summit, MO |
| 1932673332 | Jared Wann | Individual | Pharmacist | Lees Summit, MO |
| 1326648593 | Michelle Arnold | Individual | Pharmacist | Lees Summit, MO |
| 1003417338 | Shaun Sousley | Individual | Pharmacist | Lees Summit, MO |
| 1518568856 | Maria Cumberford | Individual | Pharmacist | Lees Summit, MO |
Verify this record
Cross-check NPI 1962429282 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 is the NPI number for Wal-Mart Stores East Lp?
Who is the authorized official for Wal-Mart Stores East Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-02.