OrganizationActive
Wal-Mart Stores East Lp
NPI 1750717344 · Community/Retail Pharmacy · Georgetown, KY
Wal-Mart Stores East Lp is a Community/Retail Pharmacy organization in Georgetown, KY (NPI 1750717344).
Provider details
- NPI number
- 1750717344
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 277-6348
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 Cherry Blossom Way
Gate 7
Georgetown, KY 40324-9564
Phone: (502) 570-4608
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-7259
Registry dates
- Enumerated
- 2013-09-16
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Wal-Mart Stores East Lp's NPI number?
- Wal-Mart Stores East Lp's National Provider Identifier (NPI) is 1750717344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores East Lp?
- Wal-Mart Stores East Lp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wal-Mart Stores East Lp located?
- Wal-Mart Stores East Lp's practice location on file with NPPES is 1001 Cherry Blossom Way, Georgetown, KY 40324-9564.
- What is Wal-Mart Stores East Lp's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores East Lp is (502) 570-4608.
- Who is the authorized official for Wal-Mart Stores East Lp?
- The authorized official listed on Wal-Mart Stores East Lp's NPPES record is Kimberly Canonic, Senior Director, Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores East Lp's NPI active?
- Yes — Wal-Mart Stores East Lp's NPI (1750717344) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.