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 1538417241

Wal-Mart Stores East , LP is a Durable Medical Equipment & Medical Supplies in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
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

545 El Camino Alto Dr
Springfield, MO 65802-4719
Phone: (417) 414-6626
Fax: (417) 414-6622
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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 2012032335 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1538417241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Wal-Mart Pharmacy 10-3111
NPI enumeratedAugust 28, 2012
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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