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WAL-MART STORES EAST LP
NPI 1043237431
Pharmacy - Community/Retail Pharmacy in Hallandale Beach, FL

Active since July 16, 2006CLIA 10D2188891 · Waiver
2551 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009(954) 455-8355(954) 455-8364 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, May 10, 2023, Mar 20, 2017 and 1 more (4 updates tracked since 2017).

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 1043237431), doing business as Walmart Pharmacy 10-1996, is a healthcare organization registered as a community/retail pharmacy in Hallandale Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1043237431
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2551 E HALLANDALE BEACH BLVDHallandale Beach, FL 33009-4818
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 258-6180 · Fax (479) 277-4331
Phone(954) 455-8355
Fax(954) 455-8364
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1043237431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH15341
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2551 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009
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Other Names 1

Doing Business AsWalmart Pharmacy 10-1996

Other Identifiers 2

Other2012071Pk
Medicaid102704200FL

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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2188891

Wal-Mart Stores East, LP · Hallandale Beach, FL
Active · expires Jul 22, 2028
CLIA Number10D2188891
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorMarc Freeman
Laboratory Phone(954) 455-8355
Laboratory LocationWal-Mart Stores East, LP2551 E Hallandale Beach Blvd, Hallandale Beach, FL 33009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
61 services57 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
59 services55 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Other Providers at the Same Location NPPES 4

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

FLORIDA SHORES VISION, INC
Optometrist
2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Broward County (954) 455-1205
NATALIYA A. WORSLEY, O.D., P.A.
Optometrist
2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Broward County (954) 624-2165
WAL-MART STORES EAST LP
Eyewear Supplier
2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Broward County (954) 455-4700
ANGEL NGUYEN PHARMD
Pharmacist
2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Broward County (954) 455-8355

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 1043237431. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-1996.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2551 E Hallandale Beach Blvd, Hallandale Beach, FL 33009. The listed phone number is (954) 455-8355.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2188891) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 Arizona Complete Health and 49 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 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.