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Wal-Mart Stores East LP

NPI 1013934413ActiveOrganization· Pharmacy, Specialty Pharmacy· Orlando, FL

Pharmacy, Specialty Pharmacy in Orlando, Florida, registered in NPPES in July 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Enrolled in Medicare as dme supplier - pharmacy.

Overview

NPI1013934413
StatusActive
Entity typeOrganization
NPI issuedJul 16, 2006
Last updated in NPPESJun 12, 2025
Certified by providerJun 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Specialty Pharmacy Primary3336S0011XOS01543AR
Pharmacy, Specialty Pharmacy3336S0011X965ND
Pharmacy, Specialty Pharmacy3336S0011XPHA-MOP-LIC-12447MT
Pharmacy, Specialty Pharmacy3336S0011X262265MN
Pharmacy, Specialty Pharmacy3336S0011XFL873KY
Pharmacy, Specialty Pharmacy3336S0011X054.015021IL
Pharmacy, Specialty Pharmacy3336S0011X64000468AIN
Pharmacy, Specialty Pharmacy3336S0011XPHY.005063-OSLA
Pharmacy, Specialty Pharmacy3336S0011X22601TX
Pharmacy, Specialty Pharmacy3336S0011X3872TN
Pharmacy, Specialty Pharmacy3336S0011X5301007714MI
Pharmacy, Specialty Pharmacy3336S0011X2003010214MO
Pharmacy, Specialty Pharmacy3336S0011X99-6096OK
Pharmacy, Specialty Pharmacy3336S0011XPH18943FL
Pharmacy, Specialty Pharmacy3336S0011X021368750-03OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (FL)

Medicare sources and data years

Other Pharmacy, Specialty Pharmacy providers in Orlando

All 19 Pharmacy, Specialty Pharmacy providers in Orlando · All Pharmacy, Specialty Pharmacy providers in Florida