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WAL-MART STORES EAST LP
NPI 1053747071
Pharmacy - Community/Retail Pharmacy in Princeton, IN

Active since September 23, 2013
4924 S MAPLE TREE DR, PRINCETON, IN 47670(812) 385-0757(812) 385-0759 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Feb 16, 2017, Dec 23, 2015 (3 updates tracked since 2015).

About Wal-mart Stores East Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST LP (NPI 1053747071), doing business as Walmart Pharmacy 10-7266, is a healthcare organization registered as a community/retail pharmacy in Princeton, Indiana and active in the NPI registry since September 2013. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1053747071
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address4924 S MAPLE TREE DRPrinceton, IN 47670-9278
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-0709 · Fax (479) 277-4331
Phone(812) 385-0757
Fax(812) 385-0759
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateSeptember 23, 2013
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1053747071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 60006362A
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
4924 S MAPLE TREE DR, Princeton, IN 47670
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Other Names 1

Doing Business AsWalmart Pharmacy 10-7266

Other Identifiers 1

Other2142896Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA JANE CHAMBERS
Pharmacist
4924 S MAPLE TREE DR
PRINCETON, IN 47670
Gibson County (812) 385-0757
JANA MILLIKAN
Pharmacist
4924 S MAPLE TREE DR
PRINCETON, IN 47670
Gibson County (812) 385-8329
RACHEL DAWN MATTHEWS RPH
Pharmacist
4924 S MAPLE TREE DR
PRINCETON, IN 47670
Gibson County (812) 385-0757
ARIC DYLAN STANISH RPH
Pharmacist
4924 S MAPLE TREE DR
PRINCETON, IN 47670
Gibson County (812) 385-0757
TRENT BARRETT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4924 S MAPLE TREE DR
PRINCETON, IN 47670
Gibson County (812) 387-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1053747071. It was assigned to this organization in the NPPES registry on September 23, 2013. The provider is doing business as WalMart Pharmacy 10-7266.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 4924 S Maple Tree Dr, Princeton, IN 47670. The listed phone number is (812) 385-0757.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Wal-Mart Stores East LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Wal-Mart Stores East LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.