{"npi":"1194952002","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":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NH","license":"0758 P"}]},"addresses":[{"purpose":"LOCATION","street_1":"3 COMMERCE DR","city":"HOOKSETT","state":"NH","postal_code":"031062528","country_code":"US","phone":"6036210631"},{"purpose":"MAILING","street_1":"702 SW 8TH ST","city":"BENTONVILLE","state":"AR","postal_code":"727160445","country_code":"US","phone":"4792771238","fax":"4792774331"}],"license":{"state":"NH","number":"0758 P"},"identifiers":[{"type_code":"01","label":"Other","value":"2120740","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"30707743","state":"NH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930055097","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NH","pac_id":"6204749997"}]},"enumeration_date":"2009-06-18","last_updated":"2025-06-19","_meta":{"source":"NPPES","snapshot_date":"2025-06-19","doc_url":"https://findmynpi.com/api"}}