WAL-MART STORES EAST, LP
NPI 1194613869
Pharmacy - Community/Retail Pharmacy in Pace, FL

Active since June 24, 2025
4239 BERRYHILL ROAD, PACE, FL 32571(850) 463-9461(850) 463-9464 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Jun 24, 2025 (2 updates tracked since 2025).

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 1194613869), doing business as Walmart Pharmacy 10-2467, is a healthcare organization registered as a community/retail pharmacy in Pace, Florida and active in the NPI registry since June 2025. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1194613869
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST, LP
Location Address4239 BERRYHILL ROADPace, FL 32571-8339
Mailing Address1 Customer Drive, Ms 0445Bentonville, AR 72716-0445 · Fax (479) 277-4331
Fax(850) 463-9464
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 277-6348
Enumeration DateJune 24, 2025
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1194613869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
4239 BERRYHILL ROAD, Pace, FL 32571

Other Names 1

Doing Business AsWalmart Pharmacy 10-2467

Other Identifiers 2

Medicaid128278400FL
Medicaid128278700FL

Accepted Insurance

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 1194613869. It was assigned to this organization in the NPPES registry on June 24, 2025. The provider is doing business as Walmart Pharmacy 10-2467.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 4239 Berryhill Road, Pace, FL 32571. The listed phone number is (850) 463-9461.

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.

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 45 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 December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.