WAL-MART STORES EAST , LP
NPI 1538417241
Pharmacy - Community/Retail Pharmacy in Springfield, MO

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

The NPI number for Wal-Mart Stores East , LP is 1538417241. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is doing business as Wal-Mart Pharmacy 10-3111.

Q: 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.

Active since August 28, 2012

545 EL CAMINO ALTO DR, SPRINGFIELD, MO 65802(417) 414-6626(417) 414-6622 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Jun 5, 2025, Sep 12, 2024 and 3 more (6 updates tracked since 2016).

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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 1538417241), doing business as Wal-mart Pharmacy 10-3111, is a healthcare organization registered as a community/retail pharmacy in Springfield, Missouri and active in the NPI registry since August 2012. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1538417241

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST , LP

Location Address545 EL CAMINO ALTO DRSpringfield, MO 65802-4719

Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445

Phone(417) 414-6626

Fax(417) 414-6622

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348

Enumeration DateAugust 28, 2012

Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1538417241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MO · 2012032335

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

545 EL CAMINO ALTO DR, Springfield, MO 65802

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-3111

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 Arkansas Health & Wellness and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

190 services188 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

180 services178 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-3111 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-3111

DMEPOS supplier · Springfield, MOOperated by Wal-Mart Stores East, LP

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Does not accept Medicare assignment

Walmart Pharmacy 10-3111 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20503703

Medicare Participant SinceJuly 1, 2014

Supplier Location545 W El Camino Alto StSpringfield, MO 65810

Phone(417) 414-6626

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1538417241. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is doing business as Wal-Mart Pharmacy 10-3111.

Where is Wal-Mart Stores East , LP located?

Wal-Mart Stores East , LP is located at 545 El Camino Alto Dr, Springfield, MO 65802. The listed phone number is (417) 414-6626.

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.

Does Wal-Mart Stores East , LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-3111 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Wal-Mart Stores East , LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 46 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 July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.