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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WAL-MART STORES EAST, LP
NPI 1356201867
Pharmacy in The Villages, FL

Active since November 17, 2025
1115 WAXMAN DR, THE VILLAGES, FL 32163(352) 461-5369 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Nov 17, 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 1356201867) is a healthcare organization registered as a pharmacy in The Villages, Florida and active in the NPI registry since November 2025. The organization lists Kimberly Canonic, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1356201867
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1115 WAXMAN DRThe Villages, FL 32163-6115
Mailing Address1 Customer DrBentonville, AR 72716-0445
Phone(352) 461-5369
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector Of Health Care Contracting · (480) 277-6348
Enumeration DateNovember 17, 2025
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1356201867 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
1115 WAXMAN DR, The Villages, FL 32163
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Other Identifiers 2

Medicaid130264500FL
Medicaid130264600FL

Other Providers at the Same Location NPPES 2

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

WAL-MART STORES EAST, LP
Eyewear Supplier
1115 WAXMAN DR
THE VILLAGES, FL 32163
Sumter County (352) 461-5369
LUIS E SOTO
Technician/Technologist (Optician)
1115 WAXMAN DR
THE VILLAGES, FL 32163
Sumter County (352) 461-5385

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 1356201867. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1115 Waxman Dr, The Villages, FL 32163. The listed phone number is (352) 461-5369.

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 July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.