WAL-MART STORES EAST, LP
NPI 1568254183
Pharmacy - Community/Retail Pharmacy in Milton, FL

Active since May 20, 2025CLIA 10D2325637 · Waiver
6275 US - 90, MILTON, FL 32570(850) 750-3083(850) 750-3084 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 22, 2026, Nov 4, 2025, May 20, 2025 (3 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 1568254183), doing business as Walmart Pharmacy 10-2983, is a healthcare organization registered as a community/retail pharmacy in Milton, Florida and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Kimberly Canonic, Senior Director, Billing, as its authorized official.

NPPES Registry Identity

NPI1568254183
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST, LP
Location Address6275 US - 90Milton, FL 32570-9998
Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (405) 202-9925 · Fax (479) 277-4331
Fax(850) 750-3084
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Billing · (480) 277-6348
Enumeration DateMay 20, 2025
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1568254183 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
6275 US - 90, Milton, FL 32570

Other Names 1

Doing Business AsWalmart Pharmacy 10-2983

Other Identifiers 2

Medicaid127801600DMEFL
Medicaid127799700FL

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 10D2325637

Wal-Mart Stores East, LP · Milton, FL
Active · expires Jun 16, 2027
CLIA Number10D2325637
Laboratory TypePharmacy
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorHunter Manning
Laboratory Phone(479) 371-2991
Laboratory LocationWal-Mart Stores East, LP6275 Us Highway 90, Milton, FL 32570
CLIA data matches this NPI record on: 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 1568254183. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Walmart Pharmacy 10-2983.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 6275 Us - 90, Milton, FL 32570. The listed phone number is (850) 750-3083.

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 10D2325637) is associated with this NPI, valid through June 16, 2027. 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 48 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 April 22, 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.