Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wal-Mart Stores East, LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1891607990

Wal-Mart Stores East, LP provides Durable Medical Equipment & Medical Supplies in Maryville, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
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

2809 E Lamar Alexander Pkwy
Maryville, TN 37804-3542
Phone: (479) 277-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1891607990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Billing · (480) 853-0515
Other names Walmart Pharmacy 10-7239
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address1 Customer Dr, Bentonville, AR 72716-0445

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