Wal-Mart Stores East, LP
NPI 1275486367ActiveOrganization· Pharmacy· Lady Lake, FL
Pharmacy in Lady Lake, Florida, registered in NPPES in February 2026. The authorized official on file is Kimberly Canonic, Director Of Health Care Contracting. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1275486367 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2026 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (FL) |
|---|
Other pharmacies in Lady Lake
- 1003015983
- 1053415919
- 1346361326
- 1427065507