NPI 1013934413
Wal-Mart Stores East LP
Pharmacy, Specialty Pharmacy · Orlando, FL
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 2:33 am EDT
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Wal-Mart Stores East LP is a health care organization (Pharmacy, Specialty Pharmacy) in Orlando, Florida with National Provider Identifier (NPI) 1013934413. The NPI was issued on Jul 16, 2006 and the registry record was last updated on Jun 12, 2025. The registry lists 15 licenses in Arkansas, North Dakota, Montana, Minnesota, Kentucky, Illinois, Indiana, Louisiana, Texas, Tennessee, Michigan, Missouri, Oklahoma, Florida, Ohio.
Registry record
- NPI
- 1013934413
- Type
- Organization (NPI-2)
- Primary specialty
- Pharmacy, Specialty Pharmacy 3336S0011X
- Practice location
- 2354 Commerce Park Dr Ste 100
Orlando, FL 32819-8601 - Phone
- (877) 453-4566
- NPI issued
- Jul 16, 2006
- Registry record updated
- Jun 12, 2025
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment
- Other names
- Walmart Pharmacy 10-5315 (doing business as)
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | Arkansas | OS01543 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | North Dakota | 965 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Montana | PHA-MOP-LIC-12447 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Minnesota | 262265 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Kentucky | FL873 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Illinois | 054.015021 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Indiana | 64000468A |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Louisiana | PHY.005063-OS |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Texas | 22601 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Tennessee | 3872 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Michigan | 5301007714 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Missouri | 2003010214 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Oklahoma | 99-6096 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Florida | PH18943 |
| Pharmacy, Specialty Pharmacy | 3336S0011X | Ohio | 021368750-03 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.