Wal-Mart Stores East LP
NPI 1982113049ActiveOrganization· Pharmacy· Starkville, MS
Pharmacy in Starkville, Mississippi, registered in NPPES in September 2017. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment. Medicare paid $56,936 for services to 273 patients in 2024.
Overview
| NPI | 1982113049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2017 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 16551 | MS |
| 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 | 273 |
|---|---|
| Services billed | 834 across 9 procedure codes |
| Paid by Medicare | $56,936 |
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