Wal-Mart Stores East LP
NPI 1700323599ActiveOrganization· Pharmacy· Meridian, MS
Pharmacy in Meridian, Mississippi, registered in NPPES in January 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $32,507 for services to 156 patients in 2024.
Overview
| NPI | 1700323599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2017 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 156 |
|---|---|
| Services billed | 448 across 11 procedure codes |
| Paid by Medicare | $32,507 |
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