WAL-MART STORES EAST LP
NPI 1326418120
Pharmacy - Community/Retail Pharmacy in Fort Lauderdale, FL

Active since October 06, 2015CLIA 10D2180012 · Waiver
2500 W BROWARD BLVD, FORT LAUDERDALE, FL 33312(954) 453-6537(954) 453-6536 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Oct 4, 2023, Feb 15, 2017 and 3 more (6 updates tracked since 2015).

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 1326418120), doing business as Walmart Pharmacy 10-2946, is a healthcare organization registered as a community/retail pharmacy in Fort Lauderdale, Florida and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1326418120
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address2500 W BROWARD BLVDFort Lauderdale, FL 33312-1300
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Fax(954) 453-6536
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateOctober 6, 2015
Last NPPES UpdateJune 6, 20256 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1326418120 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 · PH29602
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
2500 W BROWARD BLVD, Fort Lauderdale, FL 33312

Other Names 1

Doing Business AsWalmart Pharmacy 10-2946

Other Identifiers 3

Medicaid016492301 DMEFL
Medicaid016492300FL
Other2155106Pk

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 10D2180012

Wal-Mart Store East, LP · Fort Lauderdale, FL
Active · expires Mar 4, 2028
CLIA Number10D2180012
Laboratory TypePharmacy
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorFareeda Steele
Laboratory Phone(954) 453-6537
Laboratory LocationWal-Mart Store East, LP2500 W Broward Blvd, Fort Lauderdale, FL 33312
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
20 services20 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.
18 services18 patients

Other Providers at the Same Location NPPES 8

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

Pharmacist
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Technician/Technologist (Optician)
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Optometrist
2500 W BROWARD BLVD
FT LAUDERDALE, FL 33312
Technician/Technologist (Optician)
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Technician/Technologist (Optician)
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Eyewear Supplier
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Optometrist
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Pharmacist
2500 W BROWARD BLVD
FORT LAUDERDALE, FL 33312

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 1326418120. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Walmart Pharmacy 10-2946.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2500 W Broward Blvd, Fort Lauderdale, FL 33312. The listed phone number is (954) 453-6537.

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 10D2180012) is associated with this NPI, valid through March 4, 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 50 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 with the weekly NPPES data releases published by CMS.