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 1720536790

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

Licensed in
KY
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

4840 Outer Loop
Louisville, KY 40219-3302
Phone: (502) 313-6350
Fax: (502) 313-6349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence P07790 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1720536790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-6931
NPI enumeratedSeptember 19, 2016
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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