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WAL-MART STORES EAST , LP
NPI 1588076418
Pharmacy - Community/Retail Pharmacy in Miami, FL

Active since May 27, 2014CLIA 10D2188912 · Waiver
9191 W FLAGLER ST, MIAMI, FL 33174(786) 801-5708 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2025, Jun 3, 2024, Feb 15, 2017 (3 updates tracked since 2017).

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 1588076418), doing business as Walmart Pharmacy 10-4161, is a healthcare organization registered as a community/retail pharmacy in Miami, Florida and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1588076418
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST , LP
Location Address9191 W FLAGLER STMiami, FL 33174-2405
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(786) 801-5708
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateMay 27, 2014
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1588076418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH28477
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
9191 W FLAGLER ST, Miami, FL 33174
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4161

Other Identifiers 2

Other2146648Pk
Medicaid013103900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 10D2188912

Wal-Mart Stores East, LP · Miami, FL
Active · expires Jul 22, 2028
CLIA Number10D2188912
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorGladys Valdes
Laboratory Phone(786) 801-5708
Laboratory LocationWal-Mart Stores East, LP9191 W Flagler St, Miami, FL 33174
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Stores East LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East LP

DMEPOS supplier · Miami, FL
⋮

Does not accept Medicare assignment

Wal-Mart Stores East LP has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20504819
Medicare Participant SinceJuly 1, 2014
Supplier Location9191 W Flagler StMiami, FL 33174
Phone(786) 801-5708
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

MR. EDUARDO JOSE CHAVEZ RPH
Pharmacist
9191 W FLAGLER ST
MIAMI, FL 33174
Miami-Dade County (786) 801-5709

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 1588076418. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is doing business as Walmart Pharmacy 10-4161.

Where is Wal-Mart Stores East , LP located?

Wal-Mart Stores East , LP is located at 9191 W Flagler St, Miami, FL 33174. The listed phone number is (786) 801-5708.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Stores East LP does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Wal-Mart Stores East , LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2188912) is associated with this NPI, valid through July 22, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.