NPI age
14 years
Enumerated 2011-12-06
● Active Type 2 · Organization
Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Canonic
Senior Director, Enrollment
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1030 Delta Blvd
Atlanta, GA 303541989
Mailing address
702 Sw 8th St
Bentonville, AR 727166209
Authorized official
Kimberly Canonic
Senior Director, Enrollment
📞 4802776348
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Carla Gillespie, PHARM.D Pharmacist NPI 1477101640
- Jenyce Lane, ATC Specialist/Technologist NPI 1174195747
- Marie McKinnon Internal Medicine NPI 1477948040
- Rupal Sheth, PHARM D Pharmacist NPI 1861774895
- Paul Tran Pharmacist NPI 1427691229
- Karen Warren Internal Medicine NPI 1174566061
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2132938 | PK |
| 05 (GA) | 003133460A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WalMart Pharmacy 10-5010
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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