Wal-Mart Stores East LP
NPI 1093161424ActiveOrganization· Pharmacy· Orlando, FL
Pharmacy in Orlando, Florida, registered in NPPES in May 2016. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $7,786 for services to 36 patients in 2024.
Overview
| NPI | 1093161424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2016 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PH30152 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 112 across 7 procedure codes |
| Paid by Medicare | $7,786 |
Other Pharmacy providers in Orlando
- 1871490136
- 1962578435
- 1982781423
- 1881052769
- 1063472256
- 1679713598
- 1619431665
- 1003838657
- 1013011972
- 1184872186
- 1194829176
- 1215031109