WAL-MART STORES EAST LP
NPI 1194197533
Pharmacy in Radcliff, KY
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 1194197533), doing business as Walmart Pharmacy 10-5135, is a healthcare organization registered as a pharmacy in Radcliff, Kentucky and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Accepted 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 18D2144512
Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-5135 · Radcliff, KYAreas of Expertise CMS Part B claims 4
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.
Medical Equipment Supplier Medicare DMEPOS 11
Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5135 carries, from the Medicare DMEPOS supplier directory.
Walmart Pharmacy 10-5135
DMEPOS supplier · Radcliff, KYOperated by Wal-Mart Stores East, LPDoes not accept Medicare assignment
Walmart Pharmacy 10-5135 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1194197533. It was assigned to this organization in the NPPES registry on October 26, 2015. The provider is doing business as Walmart Pharmacy 10-5135.
Where is Wal-Mart Stores East LP located?
Wal-Mart Stores East LP is located at 102 Gateway Crossing Blvd, Radcliff, KY 40160. The listed phone number is (270) 351-3625.
What is Wal-Mart Stores East LP's specialty?
The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.
Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-5135 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2144512) is associated with this NPI, valid through February 18, 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 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
