Wal-Mart Stores East LP
NPI 1912378563ActiveOrganization· Pharmacy· Auburn, AL
Pharmacy in Auburn, Alabama, registered in NPPES in October 2015. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $7,275 for services to 35 patients in 2024.
Overview
| NPI | 1912378563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2015 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 114575 | AL |
| 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 (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 106 across 8 procedure codes |
| Paid by Medicare | $7,275 |
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