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Wal-Mart Stores East LP

NPI 1952859274ActiveOrganization· Pharmacy· Hopkinsville, KY

Pharmacy in Hopkinsville, Kentucky, registered in NPPES in September 2016. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $52,502 for services to 241 patients in 2024.

Overview

NPI1952859274
StatusActive
Entity typeOrganization
NPI issuedSep 15, 2016
Last updated in NPPESJun 10, 2025
Certified by providerJun 10, 2025

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients241
Services billed746 across 10 procedure codes
Paid by Medicare$52,502

Medicare sources and data years

Other Pharmacy providers in Hopkinsville

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