Wal-Mart Stores East LP
NPI 1144678343ActiveOrganization· Pharmacy· Las Cruces, NM
Pharmacy in Las Cruces, New Mexico, registered in NPPES in May 2016. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $150,385 for services to 546 patients in 2024.
Overview
| NPI | 1144678343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2016 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PH00004279 | NM |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 546 |
|---|---|
| Services billed | 1,999 across 10 procedure codes |
| Paid by Medicare | $150,385 |
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