Wal-Mart Stores East Lp is a Community/Retail Pharmacy (organization) practicing in Tuscaloosa, Alabama. The National Provider Identifier (NPI) is #1366469660, which was assigned on July 16, 2006, and the registration record was last updated on June 3, 2025. The practitioner's main practice location is at 1501 Skyland Blvd E, Tuscaloosa, AL 35405-4231; the contact telephone number is 2053454047. The primary taxonomy of Wal-Mart Stores East Lp is Community/Retail Pharmacy (3336C0003X), with specialization in Community/Retail Pharmacy. The authorized official for Wal-Mart Stores East Lp is Kimberly Canonic (Senior Director, Enrollment). Wal-Mart Stores East Lp is licensed to practice in the state of Alabama (#109932).
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
| NPI | 1366469660 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Provider Name | WAL-MART STORES EAST LP |
| Practice Address |
1501 Skyland Blvd E Tuscaloosa AL 35405-4231 |
| Practice Telephone | 2053454047 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Certification Date | 2025-06-03 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-06-03 |
| Is Organization Subpart | N |
| Official Name | KIMBERLY CANONIC |
| Official Title | SENIOR DIRECTOR, ENROLLMENT |
| Telephone | 4802776348 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ||||
| N | 333600000X | Pharmacy | ||||
| Y | 3336C0003X | Pharmacy | Community/Retail Pharmacy | 109932 | AL |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 1992483 | PK | Other | |
| 100003346 | AL | MEDICAID |
| Other Organization Name | Type |
|---|---|
| WAL-MART PHARMACY 10-0715 | Doing Business As Name |
| Endpoint Type | Endpoint | Affiliation Legal Business Name | Affiliation Address | Use Description |
|---|---|---|---|---|
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wal-Mart Stores East Lp | 9550 Baymeadows Rd, Jacksonville, FL 32256-0710 | Durable Medical Equipment & Medical Supplies | 2018-02-23 |
| Wal-Mart Stores East Lp | 337 Pinewood Rd, Sumter, SC 29150-5442 | Durable Medical Equipment & Medical Supplies | 2017-10-26 |
| Wal-Mart Stores East Lp | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | Durable Medical Equipment & Medical Supplies | 2017-07-12 |
| Wal-Mart Stores East Lp | 2755 W Holton-Whitehall Rd., Whitehall, MI 49461-9516 | Durable Medical Equipment & Medical Supplies | 2017-02-21 |
| Wal-Mart Stores East Lp | 10420 Walmart Dr, Hagerstown, MD 21740-5790 | Durable Medical Equipment & Medical Supplies | 2017-02-22 |
| Wal-Mart Stores East Lp | 105 Market St, Starkville, MS 39759-4270 | Durable Medical Equipment & Medical Supplies | 2017-09-21 |
| Wal-Mart Stores East Lp | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | Durable Medical Equipment & Medical Supplies | 2017-09-12 |
| Wal-Mart Stores East Lp | 2129 Grand Ave, Yazoo City, MS 39194-2312 | Durable Medical Equipment & Medical Supplies | 2017-02-06 |
| Wal-Mart Stores East Lp | 8777 Platt Rd, Saline, MI 48176-9773 | Durable Medical Equipment & Medical Supplies | 2017-02-13 |
| Wal-Mart Stores East Lp | 955 S Woodland Blvd, Deland, FL 32720-0000 | Durable Medical Equipment & Medical Supplies | 2017-09-08 |
| Find all providers with the same name | |||
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| Classification | Durable Medical Equipment & Medical Supplies |
| Grouping | Suppliers |
| Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
| Code | 333600000X |
| Taxonomy | Pharmacy |
| Classification | Pharmacy |
| Grouping | Suppliers |
| Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Elixir Pharmacy 2 | 3902 Monroe St Ste 2, Dearborn Heights, MI 48125-2545 | Community/Retail Pharmacy | 2025-10-08 |
| Tatiana V Melnik | 9415 W Desert Inn Rd, Las Vegas, NV 89117-6765 | Community/Retail Pharmacy | 2025-10-09 |
| Monarch Pharmacy | 9861 Reeck Rd, Allen Park, MI 48101-1356 | Community/Retail Pharmacy | 2025-10-08 |
| Rivers Health and Wellness Pharmacy | 170 Marietta Hwy, Canton, GA 30114-2303 | Community/Retail Pharmacy | 2025-10-09 |
| Elevated Wellness Rx LLC | 1539 W Broad St Ste C, Columbus, OH 43222-1080 | Community/Retail Pharmacy | 2025-10-08 |
| Bangor Plaza Drug Inc | 1309 Blue Valley Dr Unit 4b, Pen Argyl, PA 18072-1825 | Community/Retail Pharmacy | 2025-10-10 |
| Lincoln County Primary Care Center Inc | 5027 Helena Ave, Delbarton, WV 25670-1301 | Community/Retail Pharmacy | 2025-10-08 |
| Tikvah Rx LLC | 2066 Lakewood Rd, Suite 7-A, Toms River, NJ 08755 | Community/Retail Pharmacy | 2025-10-08 |
| Jamie Stagg | 784 Montgomery Hwy, Vestavia Hills, AL 35216-1800 | Community/Retail Pharmacy | 2025-10-08 |
| Sparta Community Hospital District | 109 E Broadway St, Sparta, IL 62286-1678 | Community/Retail Pharmacy | 2025-10-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
1501 SKYLAND BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-4231 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wal-Mart Stores East, Lp | 1501 Skyland Blvd E, Tuscaloosa, AL 35405-4231 | Optician | 2006-10-19 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wal-Mart Stores East, Lp | 8600 Highway 69, Tuscaloosa, AL 35405 | Durable Medical Equipment & Medical Supplies | 2025-03-06 |
| Dawn L Johnson | 1401 Skyland Blvd E, Tuscaloosa, AL 35405-4229 | Optometrist | 2006-06-12 |
| Madeline Grace Stephens | 9295 Havenridge Loop, Tuscaloosa, AL 35405-0137 | Registered Dietitian | 2025-02-19 |
| Grace Singley Morrison | 1400 James I Harrison Jr Pkwy E Ste 200, Tuscaloosa, AL 35405-2662 | Speech-Language Pathologist | 2025-07-24 |
| Jarett B Sherrill | 819 Mimosa Park Rd, Tuscaloosa, AL 35405-4839 | Chiropractor | 2025-03-04 |
| Megan Page Fedewa | 3722 Palisades Dr, Tuscaloosa, AL 35405-3484 | Behavioral Analyst | 2025-02-11 |
| Sams East Inc | 1401 Skyland Blvd E, Tuscaloosa, AL 35405-4229 | Durable Medical Equipment & Medical Supplies | 2012-01-03 |
| Brittany Ann Grigorian | 1100 Hargrove Rd E Unit 1412, Tuscaloosa, AL 35405-1667 | Athletic Trainer | 2025-08-27 |
| David Robert Breedlove | 608 Skyland Blvd E, Tuscaloosa, AL 35405-4037 | Physical Therapist | 2011-03-21 |
| Mary Leshaun Williams | 375 Bear Creek Rd, Tuscaloosa, AL 35405-6261 | Respite Care | 2024-03-11 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wal-Mart Stores, Inc. Dba Wal-Mart | 1800 University Dr, Vista, CA 92083-7700 | Optician | 2007-03-09 |
| Wal Mart Stores, Inc. Dba Wal-Mart | 31700 Grape Street, Lake Elsinore, CA 92530-9785 | Optician | 2006-10-02 |
| Wal Mart Stores, Inc. Dba Wal-Mart | 40580 Albrae St., Fremont, CA 94538-2448 | Optician | 2006-10-04 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 1720 Westridge Rd, New Ulm, MN 56073 | Optician | 2007-03-08 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 3205 Stower St, Miles City, MT 59301-5785 | Optician | 2007-03-12 |
| Wal-Mart Stores, Inc Dba Wal-Mart | 1303 Charles St, Park Rapids, MN 56470 | Optician | 2007-03-08 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 825 Malerich Dr., Lincoln, IL 62656 | Optician | 2007-03-06 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 9151 So. Quarry Blvd, Sandy, UT 84094 | Optician | 2007-03-08 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 952 Swede Gulch Rd, Evergreen, CO 80401-9713 | Optician | 2007-03-08 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 3900 Fountain Square Pl, Waukegan, IL 60085-6705 | Optician | 2007-02-28 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |