Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1295174068

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
2
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5835 W 10th St
Indianapolis, IN 46224-6112
Phone: (317) 243-2516
Fax: (317) 243-2610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 60006347B (IN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1295174068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-5804
NPI enumeratedJune 14, 2013
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0629

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