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

Wal-Mart Stores East , LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1376929570

Wal-Mart Stores East , LP is a Durable Medical Equipment & Medical Supplies in Jenks, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
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

11020 S Elm St
Jenks, OK 74037-3002
Phone: (918) 209-7016
Fax: (918) 209-7015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2-7447 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1376929570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5336
NPI enumeratedAugust 11, 2015
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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