Wal-Mart Stores East LP
Pharmacy in Las Cruces, NM. Organization (NPI-2).
NPI number1144678343
StatusActive
Last updated in NPPESJun 15, 2026
Details
- NPI
- 1144678343
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- May 27, 2016
- Certification date
- Jun 15, 2026
- Last updated
- Jun 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PH00004279 | NM | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-5782 (Doing Business As)
Practice location
150 Sonoma Ranch BlvdLas Cruces, NM 88011-1608
Phone 575-323-6097 · Fax 575-323-6096
Mailing address
1 Customer DrMail Stop 0445
Bentonville, AR 72716-0445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacy providers in Las Cruces, NM
- Cvs Pharmacy INCNPI 1477959229
- Cvs Pharmacy INCNPI 1962777045
- Express Trade LcNPI 1134599202
- Express Trade LcNPI 1477008324
- Walgreen CoNPI 1265447163
- Walgreen CoNPI 1265662951
- Walgreen CoNPI 1578578621
- Walgreen CoNPI 1619304482
- Walgreen CoNPI 1760713572
- Walgreen CoNPI 1811904717
All 12 Pharmacy providers in Las Cruces · All 6,914 providers in Las Cruces
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.