Wal-Mart Stores East LP
NPI 1528507654ActiveOrganization· Pharmacy· Hagerstown, MD
Pharmacy in Hagerstown, Maryland, registered in NPPES in February 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $62,336 for services to 281 patients in 2024.
Overview
| NPI | 1528507654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2017 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P07516 | MD |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 888 across 10 procedure codes |
| Paid by Medicare | $62,336 |
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