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 1356406516

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Commack, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

85 Crooked Hill Rd
Commack, NY 11725-5407
Phone: (631) 864-1671
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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 28165 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1356406516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5202
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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