NPI

Wal-Mart Stores East Lp

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2016-05-27
Last updated
2026-06-15

Specialties

Licenses

License NM
PH00004279

Location

Practice location
150 Sonoma Ranch Blvd
City
Las Cruces NM
Postal code
88011-1608
Phone
(575) 323-6097

Organization contact

Name
KIMBERLY CANONIC
Title
Senior Director, Enrollment
Phone
4808530515

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Las Cruces, NM. 6,877 records in the public file.

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