Wal-Mart Stores East, LP
NPI 1427960582ActiveOrganization· Pharmacy· St Augustine, FL
Pharmacy in St Augustine, Florida, registered in NPPES in September 2026. The authorized official on file is Kimberly Canonic, Senior Director, Billing.
Overview
| NPI | 1427960582 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2026 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacies in St Augustine
- 1134134331
- 1205084266
- 1265536163
- 1336396647
- 1386820074
- 1447567235
- 1518465459
- 1548595416
- 1700021144
- 1801990791