Wal-Mart Stores East Lp is a Community/Retail Pharmacy (organization) practicing in Sand Springs, Oklahoma. The National Provider Identifier (NPI) is #1831117597, which was assigned on July 18, 2006, and the registration record was last updated on June 3, 2025. The practitioner's main practice location is at 220 S State Highway 97, Sand Springs, OK 74063-6503; the contact telephone number is 9182459523. 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 Oklahoma (#24722).
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 | 1831117597 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Provider Name | WAL-MART STORES EAST LP |
| Practice Address |
220 S State Highway 97 Sand Springs OK 74063-6503 |
| Practice Telephone | 9182459523 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Certification Date | 2025-06-03 |
| Enumeration Date | 2006-07-18 |
| 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 | 24722 | OK |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 2074133 | PK | Other | |
| 100239640A | OK | MEDICAID |
| Other Organization Name | Type |
|---|---|
| WALMART PHARMACY 10-0838 | 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 | 73 Fellowship, Mt Laurel, NJ 08054 | Durable Medical Equipment & Medical Supplies | 2018-01-08 |
| 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 | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | Durable Medical Equipment & Medical Supplies | 2017-09-26 |
| Wal-Mart Stores East Lp | 14 N Stafford Complex Center, Stafford, VA 22556-0000 | Durable Medical Equipment & Medical Supplies | 2017-02-22 |
| 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 | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | Durable Medical Equipment & Medical Supplies | 2017-09-12 |
| 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 | 2855 N Old Lake Wilson Road, Kissimmee, FL 34747 | Durable Medical Equipment & Medical Supplies | 2017-08-16 |
| Wal-Mart Stores East Lp | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | Durable Medical Equipment & Medical Supplies | 2017-11-27 |
| 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 |
|---|---|---|---|
| Caroline Youssef | 3094 S Orlando Dr, Sanford, FL 32773-5318 | Community/Retail Pharmacy | 2026-01-08 |
| Emma R Darling | 2235 Parr Dr, Lady Lake, FL 32162-5381 | Community/Retail Pharmacy | 2026-01-10 |
| 180 Jericho Pharmacy Rx Inc | 180 Jericho Tpke, Floral Park, NY 11001-2024 | Community/Retail Pharmacy | 2026-01-07 |
| Pq Pharmacy | 15225 Technology Dr, Brooksville, FL 34604-0692 | Community/Retail Pharmacy | 2026-01-05 |
| Ohio State University Outpatient Pharmacy | 7171 Sawmill Pkwy Fl 1, Powell, OH 43065-7828 | Community/Retail Pharmacy | 2026-01-08 |
| Allison Jayne Wilbur | 7 Hannaford Dr, Westbrook, ME 04092-4084 | Community/Retail Pharmacy | 2026-01-07 |
| Zara Rx Inc | 831 Castleton Ave, Staten Island, NY 10310-1804 | Community/Retail Pharmacy | 2026-01-07 |
| Rockville Pharmacy Inc. | 23a N Village Ave, Rockville Centre, NY 11570-4707 | Community/Retail Pharmacy | 2026-01-10 |
| Eastern Shore Rural Health System Incorporated | 17068 Lankford Highway, Eastville, VA 23347 | Community/Retail Pharmacy | 2026-01-08 |
| Costco Wholesale Corporation | 6610 W Riggin Ave, Visalia, CA 93291-7179 | Community/Retail Pharmacy | 2026-01-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
220 S STATE HIGHWAY 97 |
| City | SAND SPRINGS |
| State | OK |
| Zip Code | 74063-6503 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Eyemart Express LLC | 230 S State Highway 97 # A, Sand Springs, OK 74063-6503 | Eyewear Supplier | 2014-12-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sierra Campbell | 1520 S 264th West Ave, Sand Springs, OK 74063-5115 | Peer Specialist | 2025-12-06 |
| Janice Elaine Marr | 1712 S 152nd West Ave, Sand Springs, OK 74063-4245 | Clinical Social Worker | 2009-06-03 |
| Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Bcchs Central 9th Grade Center, 14 W 4th Street, Sand Springs, OK 74063 | Pediatrics Physician | 2006-06-15 |
| Alexandria Davis | 17287 W 32nd St S, Sand Springs, OK 74063-4774 | Occupational Therapy Assistant | 2025-09-01 |
| Casey Meyering | 603 Antigua Dr, Sand Springs, OK 74063-2109 | Health & Wellness Coach | 2021-10-15 |
| Cody Hume Miller | 20 E 34th St, Sand Springs, OK 74063-4001 | Student in an Organized Health Care Education/Training Program | 2020-04-06 |
| Tko Anesthesia LLC | 17872 W Coyote Trl, Sand Springs, OK 74063-4783 | Certified Registered Nurse Anesthetist | 2025-10-27 |
| Jordan Matthew Ryan Dixon | 24 E 34th St, Sand Springs, OK 74063-4001 | General Practice Dentistry | 2025-07-21 |
| Jamie Weiland | 1 W 41st St Ste D, Sand Springs, OK 74063-2726 | Rehabilitation Counselor | 2020-02-25 |
| Stephanie Welter · Stephanie Sponsler | 9352 Black Oak Ln, Sand Springs, OK 74063-3912 | Clinical Social Worker | 2025-08-15 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wal-Mart Stores, Inc. Dba Wal-Mart | 825 Malerich Dr., Lincoln, IL 62656 | Optician | 2007-03-06 |
| Wal Mart Stores, Inc. Dba Wal-Mart | 180 Niblick Road, Paso Robles, CA 93446-4842 | Optician | 2006-10-10 |
| Wal-Mart Stores, Inc Dba Wal-Mart | 1400 Hilltop Mall Rd, Richmond, CA 94806-1913 | Optician | 2007-03-08 |
| Wal-Mart Stores, Inc Dba Wal-Mart | 4781 E. Rockton Rd., Rockton, IL 61072 | Optician | 2007-03-06 |
| Wal-Mart Stores, Inc. Dba Wal-Mart | 3900 Fountain Square Pl, Waukegan, IL 60085-6705 | Optician | 2007-02-28 |
| 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 | 2202 Pike Rd, Winfield, KS 67156-5400 | Optician | 2007-03-06 |
| 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 | 3950 W. Lake Mead Blvd, North Las Vegas, NV 89032 | Optician | 2007-03-08 |
| Wal Mart Stores, Inc. Dba Wal-Mart | 31700 Grape Street, Lake Elsinore, CA 92530-9785 | Optician | 2006-10-02 |
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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. |