Wal-Mart Stores East LP
NPI 1699023671ActiveOrganization· Pharmacy· Denton, MD
Pharmacy in Denton, Maryland, registered in NPPES in August 2012. The authorized official on file is Kimberly Canonic, Senior Director Enrollment. Medicare paid $98,249 for services to 440 patients in 2024.
Overview
| NPI | 1699023671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2012 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P05803 | MD |
| 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) | Enrolled DME Supplier - Pharmacy (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 440 |
|---|---|
| Services billed | 1,440 across 11 procedure codes |
| Paid by Medicare | $98,249 |
Other pharmacies in Denton
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