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WAL-MART STORES EAST LP
NPI 1962429217
Pharmacy - Community/Retail Pharmacy in Cassville, MO

Active since July 16, 2006
1401 OLD EXETER RD, CASSVILLE, MO 65625(417) 847-3180 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Feb 20, 2017 (2 updates tracked since 2017).

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 1962429217), doing business as Walmart Pharmacy 10-0914, is a healthcare organization registered as a community/retail pharmacy in Cassville, Missouri and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1962429217
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1401 OLD EXETER RDCassville, MO 65625-9415
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(417) 847-3180
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1962429217 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 MO · 2002009444
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 ListedPharmacyTaxonomy 333600000X
1401 OLD EXETER RD, Cassville, MO 65625
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0914

Other Identifiers 3

Other2050745Pk
Medicaid201696407AR
Medicaid602253205MO

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 ›

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.
157 services157 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.
150 services150 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.
26 services26 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 100914 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 100914

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

Does not accept Medicare assignment

Walmart Pharmacy 100914 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)20488337
Medicare Participant SinceJuly 1, 2014
Supplier Location1401 Old Exeter RdCassville, MO 65625
Phone(417) 847-3180
Supplier Specialties
Pharmacy Optician

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.

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.

HANNAH MARIE BOLTON PHARM. D
Pharmacist
1401 OLD EXETER RD
CASSVILLE, MO 65625
Barry County (417) 847-3180
KRISTEN FAVALORA
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1401 OLD EXETER RD
CASSVILLE, MO 65625
Barry County (417) 847-3180
NEAL ALAN HANSEL
Pharmacist
1401 OLD EXETER RD
CASSVILLE, MO 65625
Barry County (417) 847-3180
MR. JAMES EARL GREEN
Pharmacist
1401 OLD EXETER RD, WALMART PHARMACY #0914
CASSVILLE, MO 65625
Barry County (417) 847-3180
WALMART PHARMACY #0914
Pharmacy (Community/Retail Pharmacy)
1401 OLD EXETER RD
CASSVILLE, MO 65625
Barry County (417) 847-3180
WAL-MART STORES EAST, LP
Eyewear Supplier
1401 OLD EXETER RD
CASSVILLE, MO 65625
Barry County (417) 846-1062

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 1962429217. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0914.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 1401 Old Exeter Rd, Cassville, MO 65625. The listed phone number is (417) 847-3180.

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 100914 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 Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 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 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.