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 1629279179

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Middletown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
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

12981 Shelbyville Rd
Middletown, KY 40243-1538
Phone: (502) 244-2276
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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 P07196 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1629279179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4450
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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