Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WAL-MART STORES EAST, LP
NPI 1235041054
Pharmacy in Davenport, FL

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

The NPI number for Wal-Mart Stores East, LP is 1235041054. It was assigned to this organization in the NPPES registry on September 17, 2026. The provider is doing business as Walmart Pharmacy 10-2779.

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

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 17, 2026

41176 HWY 27, DAVENPORT, FL 33837(479) 277-3665 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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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 1235041054), doing business as Walmart Pharmacy 10-2779, is a healthcare organization registered as a pharmacy in Davenport, Florida and active in the NPI registry since September 2026. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1235041054

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWAL-MART STORES EAST, LP

Location Address41176 HWY 27Davenport, FL 33837-1005

Mailing Address1 Customer Dr # Ms 0445Bentonville, AR 72716-0445 · (479) 277-3665

Phone(479) 277-3665

Organization SubpartNo

Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 853-0515

Enumeration DateSeptember 17, 2026

NPPES CertifiedSeptember 16, 2026

✔ NPI 1235041054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

41176 HWY 27, Davenport, FL 33837

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Other Names 1

Doing Business AsWalmart Pharmacy 10-2779

Other Providers at the Same Location NPPES

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

WAL-MART STORES EAST, LP

Technician/Technologist (Optician)

41176 HWY 27
DAVENPORT, FL 33837

Polk County (479) 277-3665

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 1235041054. It was assigned to this organization in the NPPES registry on September 17, 2026. The provider is doing business as Walmart Pharmacy 10-2779.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 41176 Hwy 27, Davenport, FL 33837. The listed phone number is (479) 277-3665.

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

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.