Wal-Mart Stores East LP
NPI 1518498534ActiveOrganization· Pharmacy· Henrico, VA
Pharmacy in Henrico, Virginia, registered in NPPES in March 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $26,854 for services to 113 patients in 2024.
Overview
| NPI | 1518498534 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2017 |
| Last updated in NPPES | Jun 11, 2025 |
| Certified by provider | Jun 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 360 across 11 procedure codes |
| Paid by Medicare | $26,854 |
Other Pharmacy providers in Henrico
- 1073274502
- 1760834311