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WAL-MART STORES EAST LP
NPI 1699792903
Pharmacy - Community/Retail Pharmacy in Kissimmee, FL

Active since July 16, 2006CLIA 10D2191182 · Waiver
3250 VINELAND RD, KISSIMMEE, FL 34746(407) 397-1202(479) 277-4331 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, Jul 19, 2018, May 3, 2018 and 1 more (4 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 1699792903), doing business as Walmart Pharmacy 10-5420, is a healthcare organization registered as a community/retail pharmacy in Kissimmee, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1699792903
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address3250 VINELAND RDKissimmee, FL 34746-4893
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(407) 397-1202
Fax(479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1699792903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH21309
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
3250 VINELAND RD, Kissimmee, FL 34746
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Other Names 1

Doing Business AsWalmart Pharmacy 10-5420

Other Identifiers 3

Medicaid030835800FL
Medicaid030835801FL
Other2004334Pk

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 10D2191182

Wal-Mart Stores East LP · Kissimmee, FL
Active · expires Aug 23, 2026
CLIA Number10D2191182
Laboratory TypePharmacy
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorDebra Giguere
Laboratory Phone(407) 397-1202
Laboratory LocationWal-Mart Stores East LP3250 Vineland Rd, Kissimmee, FL 34746
CLIA data matches this NPI record on: Address Name 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.
24 services24 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.
22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5420 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-5420

DMEPOS supplier · Kissimmee, FLOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-5420 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)20500181
Medicare Participant SinceJuly 1, 2014
Supplier Location3250 Vineland RdKissimmee, FL 34746
Phone(407) 397-1202
Supplier Specialties
Pharmacy Optician

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 7

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

MIGUEL VARGAS-ANDUJAR
Technician/Technologist (Optician)
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (321) 295-9255
DR. JEN-CHIEH CHEN PHARM. D.
Pharmacist
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1202
MRS. ROSA MARIA ORTIZ
Technician/Technologist (Optician)
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1551
SOLYMAR ALFONZO
Technician/Technologist (Optician)
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1551
WAL-MART STORES EAST, LP
Eyewear Supplier
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1125
ANNIA BECK DO 7292
Technician/Technologist (Optician)
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1551
TIFFANY ALSTON
Pharmacist
3250 VINELAND RD
KISSIMMEE, FL 34746
Osceola County (407) 397-1202

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 1699792903. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-5420.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 3250 Vineland Rd, Kissimmee, FL 34746. The listed phone number is (407) 397-1202.

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, Walmart Pharmacy 10-5420 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 10D2191182) is associated with this NPI, valid through August 23, 2026. 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 51 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 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.