1. Home
  2. Directory
  3. Mississippi
  4. Blue Springs
  5. Pharmacy
  6. NPI Profile

WAL-MART STORES EAST, LP
NPI 1669037958
Pharmacy - Community/Retail Pharmacy in Blue Springs, MS

Active since May 02, 2019
1200 MAGNOLIA WAY, BLUE SPRINGS, MS 38828(479) 277-2500 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jun 12, 2025, May 2, 2019 (3 updates tracked since 2019).

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 1669037958), doing business as Walmart Pharmacy 10-3913, is a healthcare organization registered as a community/retail pharmacy in Blue Springs, Mississippi and active in the NPI registry since May 2019. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1669037958
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1200 MAGNOLIA WAYBlue Springs, MS 38828-6000
Mailing Address1 Customer DrBentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(479) 277-2500
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateMay 2, 2019
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1669037958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1200 MAGNOLIA WAY, Blue Springs, MS 38828
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-3913

Other Identifiers 1

Medicaid200017758MS

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 6

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

ANDREW MCDONALD
Physical Therapist
1200 MAGNOLIA WAY
BLUE SPRINGS, MS 38828
Union County (662) 317-3229
MR. BENJAMIN DREW DAVIS ATC
Specialist/Technologist (Athletic Trainer)
1200 MAGNOLIA WAY
BLUE SPRINGS, MS 38828
Union County (662) 317-3229
PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
Clinic/Center (Multi-Specialty)
1200 MAGNOLIA WAY
BLUE SPRINGS, MS 38828
Union County (662) 317-4100
DR. AMANDA SHIPMAN PHARMD
Pharmacist
1200 MAGNOLIA WAY
BLUE SPRINGS, MS 38828
Union County (662) 538-0115
DEBRA J THOMAS P.T.
Physical Therapist
1200 MAGNOLIA WAY
BLUE SPRINGS, MS 38828
Union County (662) 871-4065
MR. RYAN NEAL WILLIS M.A.T., ATC
Specialist/Technologist (Athletic Trainer)
1200 MAGNOLIA WAY, PROGRESSIVE HEALTH (ESI)
BLUE SPRINGS, MS 38828
Union County (662) 317-3229

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 1669037958. It was assigned to this organization in the NPPES registry on May 2, 2019. The provider is doing business as Walmart Pharmacy 10-3913.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1200 Magnolia Way, Blue Springs, MS 38828. The listed phone number is (479) 277-2500.

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 53 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 April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.