{"npi":"1124045281","type":"NPI-2","status":"active","name":{"display":"Wal-Mart Stores East Lp","other":[],"organization_name":"WAL-MART STORES EAST LP","authorised_official":"Kimberly Canonic"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"PA","license":"PP414778L"}]},"addresses":[{"purpose":"LOCATION","street_1":"2600 PLANK ROAD COMMONS","city":"ALTOONA","state":"PA","postal_code":"166019310","country_code":"US","phone":"8149498985","fax":"8149498987"},{"purpose":"MAILING","street_1":"702 SW 8TH ST","city":"BENTONVILLE","state":"AR","postal_code":"727160445","country_code":"US"}],"license":{"state":"PA","number":"PP414778L"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1007455310039","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"2081931","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930016935","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"PA","pac_id":"6204749997"}]},"enumeration_date":"2006-07-16","last_updated":"2025-06-05","_meta":{"source":"NPPES","snapshot_date":"2025-06-05","doc_url":"https://findmynpi.com/api"}}