WAL-MART STORES EAST, LP
NPI 1700335312
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL
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 1700335312), doing business as Walmart Pharmacy 10-5704, is a healthcare organization registered as a community/retail pharmacy in Port St Lucie, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Names 1
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 10D2178684
Wal-Mart Stores East LP · Port Saint Lucie, FLAreas 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.
Medical Equipment Supplier Medicare DMEPOS 11
Medicare supplier enrollment and the product categories Walmart Pharmacy 10-5704 carries, from the Medicare DMEPOS supplier directory.
Walmart Pharmacy 10-5704
DMEPOS supplier · Port St Lucie, FLOperated by Wal-Mart Stores East, LPDoes not accept Medicare assignment
Walmart Pharmacy 10-5704 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.
Medicare Product Categories
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1700335312. It was assigned to this organization in the NPPES registry on September 23, 2016. The provider is doing business as Walmart Pharmacy 10-5704.
Where is Wal-Mart Stores East, LP located?
Wal-Mart Stores East, LP is located at 3045 SW Port St Lucie Blvd, Port St Lucie, FL 34953. The listed phone number is (772) 301-6124.
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 10-5704 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 10D2178684) is associated with this NPI, valid through February 6, 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 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
