Active NPI
Wal-Mart Stores East LP
- Pharmacy
- Oklahoma City, OK
National Provider Identifier
1437064151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WAL-MART STORES EAST LP
- Practice address
- 6805 NW 138TH St
Oklahoma City, OK 73142-2514 - Phone
- (405) 730-7473
- NPI assigned
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Canonic
- Title
- Senior Director
- Phone
- (480) 853-0515
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
6805 NW 138TH St
Oklahoma City, OK 73142-2514
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Other names 1
- Walmart Pharmacy 10-5918
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optician
- Tulsa, OK
- NPI 1023760188
-
- Optician
- Del City, OK
- NPI 1235913922
-
- Optician
- Edmond, OK
- NPI 1285206581
-
- Eyewear Supplier
- Broken Arrow, OK
- NPI 1437828522
-
- Optician
- Oklahoma City, OK
- NPI 1477125771
-
- Optician
- Oklahoma City, OK
- NPI 1588236889
-
- Optician
- Oklahoma City, OK
- NPI 1629720784
-
- Optician
- Stillwater, OK
- NPI 1730817768
-
- Optician
- Norman, OK
- NPI 1831897578
-
- Optician
- McAlester, OK
- NPI 1891417259
-
- Optician
- Broken Arrow, OK
- NPI 1902771173
-
- Pharmacy
- Oklahoma City, OK
- NPI 1063968634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1437064151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CUSTOMER DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 NW 138TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422514",
"telephone_number": "405-730-7473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES EAST LP",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "CANONIC",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "480-853-0515"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Walmart Pharmacy 10-5918",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.