Wal-Mart Stores East LP
NPI 1477065704ActiveOrganization· Pharmacy· Sumter, SC
Pharmacy in Sumter, South Carolina, registered in NPPES in October 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $58,145 for services to 227 patients in 2024.
Overview
| NPI | 1477065704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2017 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 30, 2025 |
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 · 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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 227 |
|---|---|
| Services billed | 775 across 11 procedure codes |
| Paid by Medicare | $58,145 |
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