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 1689122905

Wal-Mart Stores East, LP is a Durable Medical Equipment & Medical Supplies in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
3
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

11560 N Tryon St
Charlotte, NC 28262-0000
Phone: (980) 428-8133
Fax: (980) 428-8132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 13058 (NC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1689122905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-6233
NPI enumeratedSeptember 15, 2016
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address702 Sw 8th St, Ms 0445, Bentonville, AR 72716-0445

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