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WAL-MART STORES EAST LP
NPI 1013934413
Pharmacy - Specialty Pharmacy in Orlando, FL

Active since July 16, 2006
2354 COMMERCE PARK DR STE 100, ORLANDO, FL 32819(877) 453-4566(866) 537-0877 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2025, Nov 13, 2023, Nov 6, 2023 and 4 more (7 updates tracked since 2015).

About Wal-mart Stores East Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST LP (NPI 1013934413), doing business as Walmart Pharmacy 10-5315, is a healthcare organization registered as a specialty pharmacy in Orlando, Florida and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1013934413
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameWAL-MART STORES EAST LP
Location Address2354 COMMERCE PARK DR STE 100Orlando, FL 32819-8601
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-1242
Phone(877) 453-4566
Fax(866) 537-0877
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (479) 371-1168
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 12, 20257 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1013934413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Licenses✔ Licensed in AR · OS01543✔ Licensed in ND · 965✔ Licensed in MT · PHA-MOP-LIC-12447✔ Licensed in MN · 262265✔ Licensed in KY · FL873✔ Licensed in IL · 054.015021✔ Licensed in IN · 64000468A✔ Licensed in LA · PHY.005063-OS✔ Licensed in TX · 22601✔ Licensed in TN · 3872✔ Licensed in MI · 5301007714✔ Licensed in MO · 2003010214✔ Licensed in OK · 99-6096✔ Licensed in FL · PH18943✔ Licensed in OH · 021368750-03
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
2354 COMMERCE PARK DR STE 100, Orlando, FL 32819
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5315

Other Identifiers 12

Medicaid006340FL
Medicaid025831800FL
Medicaid0311413NJ
Medicaid1013934413AL
Medicaid25831800FL
Medicaid80658873CO
Other2015188Pk
Medicaid3810010863FL
Medicaid1013934413FL
Medicaid1007455310380PA
Medicaid100445350CFL
Medicaid100505069FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wal-mart Stores East Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20100930049094DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE STINNER PHARM D
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (407) 591-4311
MATTHEW CIBULAS RPH
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 627-6337
JEFFREY DAVIS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 627-6337
DR. CHRISTINE RAMIREZ PHARMD
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 453-4566
NADINE NASHED
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (248) 525-4722
CHIA YEE CHOU
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 453-4566
ASHLEY ADDIE PHARMD
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 627-6337
DR. ADAM THALLA
Pharmacist
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819
Orange County (877) 627-6337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1013934413. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-5315.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2354 Commerce Park Dr Ste 100, Orlando, FL 32819. The listed phone number is (877) 453-4566.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Is Wal-Mart Stores East LP enrolled in Medicare?

Yes. Wal-Mart Stores East LP is registered in the Medicare PECOS enrollment system.

When is Wal-Mart Stores East LP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Wal-Mart Stores East LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 50 other insurers list Wal-Mart Stores East LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.