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 1730559832

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

Licensed in
MS
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

1733 E Pass Rd
Gulfport, MS 39507-3529
Phone: (228) 284-6990
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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 14484/1.2 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1730559832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-6165
NPI enumeratedOctober 1, 2015
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-0455

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