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Wal-Mart Stores East, Lp

Community/Retail Pharmacy in West Monroe, LA · enumerated 2014 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1962805671

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East, Lp
Other name <Unavail>
Practice address 2400 Cypress St, West Monroe, LA, 71291
Phone (318) 267-3001
Fax (318) 267-3002
Enumeration date Oct 8, 2014
Last updated in NPPES Jun 10, 2025

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY.007036-RC (LA) Primary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
2149194 Other - PK
2203525 Medicaid LA -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Wal-Mart Stores East, Lp located?
The practice location on file with NPPES is in West Monroe, LA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.