Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WAL-MART STORES EAST, LP
NPI 1740192467
Pharmacy in Fort Meyers, FL

Active since September 18, 2026
17002 THREE OAKS MARKETPLACE DR, FORT MEYERS, FL 33912(239) 416-1542 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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 1740192467), doing business as Walmart Pharmacy 10-2829, is a healthcare organization registered as a pharmacy in Fort Meyers, Florida and active in the NPI registry since September 2026. The organization lists Kimberly Canonic, Director, Billing, as its authorized official.

NPPES Registry Identity

NPI1740192467
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address17002 THREE OAKS MARKETPLACE DRFort Meyers, FL 33912-2596
Mailing Address1 Customer Dr # Ms 0445Bentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialKimberly CanonicDirector, Billing · (480) 853-0515
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1740192467 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
17002 THREE OAKS MARKETPLACE DR, Fort Meyers, FL 33912

Other Names 1

Doing Business AsWalmart Pharmacy 10-2829

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 1740192467. It was assigned to this organization in the NPPES registry on September 18, 2026. The provider is doing business as Walmart Pharmacy 10-2829.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 17002 Three Oaks Marketplace Dr, Fort Meyers, FL 33912. The listed phone number is (239) 416-1542.

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 September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.