WAL-MART STORES EAST, LP
NPI 1275409302
Pharmacy in Ocala, FL

Active since October 15, 2025CLIA 10D2333498 · Waiver
3525 SE MARICAMP RD, OCALA, FL 34471(352) 390-1115 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1275409302) is a healthcare organization registered as a pharmacy in Ocala, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1275409302
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address3525 SE MARICAMP RDOcala, FL 34471-6247
Mailing Address1 Customer DrBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 277-6348
Enumeration DateOctober 15, 2025
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1275409302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3525 SE MARICAMP RD, Ocala, FL 34471

Other Identifiers 2

Medicaid129973000FL
Medicaid130006500FL

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 10D2333498

Wal-Mart Stores East, LP Dba Walmart Pharmacy #10-4245 · Ocala, FL
Active · expires Nov 5, 2027
CLIA Number10D2333498
Laboratory TypePharmacy
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorSteven C. Simpson
Laboratory Phone(352) 390-1101
Laboratory LocationWal-Mart Stores East, LP Dba Walmart Pharmacy #10-42453525 SE Maricamp Rd, Ocala, FL 34471
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1275409302. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 3525 SE Maricamp Rd, Ocala, FL 34471. The listed phone number is (352) 390-1115.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2333498) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.