{"npi":"1720005135","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":"MS","license":"01964"}]},"addresses":[{"purpose":"LOCATION","street_1":"235 FRONTAGE RD","city":"PICAYUNE","state":"MS","postal_code":"394667587","country_code":"US","phone":"6017991063"},{"purpose":"MAILING","street_1":"702 SW 8TH ST","city":"BENTONVILLE","state":"AR","postal_code":"727160445","country_code":"US","phone":"4792771242"}],"license":{"state":"MS","number":"01964"},"identifiers":[{"type_code":"01","label":"Other","value":"2044977","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"30591","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"01834315","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930050274","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MS","pac_id":"6204749997"}]},"enumeration_date":"2006-07-16","last_updated":"2025-06-04","_meta":{"source":"NPPES","snapshot_date":"2025-06-04","doc_url":"https://findmynpi.com/api"}}