Wal-Mart Stores East LP
NPI 1295917920ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Truth Or Consequences, NM
Pharmacy, Community/Retail Pharmacy in Truth Or Consequences, New Mexico, registered in NPPES in December 2007. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $57,981 for services to 284 patients in 2024.
Overview
| NPI | 1295917920 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2007 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Community/Retail Pharmacy Primary | 3336C0003X | PH00003036 | NM |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 284 |
|---|---|
| Services billed | 860 across 11 procedure codes |
| Paid by Medicare | $57,981 |
Other retail pharmacies in Truth Or Consequences
- 1043381064