WAL-MART STORES EAST LP
NPI 1760938013
Pharmacy in Valdosta, GA
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 1760938013), doing business as Walmart Pharmacy 10-6732, is a healthcare organization registered as a pharmacy in Valdosta, Georgia and active in the NPI registry since August 2016. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wal-mart Stores East Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wal-Mart Stores East LP, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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 10-6732 carries, from the Medicare DMEPOS supplier directory.
Walmart Pharmacy 10-6732
DMEPOS supplier · Valdosta, GAOperated by Wal-Mart Stores East, LPDoes not accept Medicare assignment
Walmart Pharmacy 10-6732 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
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 1760938013. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Walmart Pharmacy 10-6732.
Where is Wal-Mart Stores East LP located?
Wal-Mart Stores East LP is located at 4196 Bemiss Rd, Valdosta, GA 31605. The listed phone number is (229) 588-7577.
What is Wal-Mart Stores East LP's specialty?
The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.
Is Wal-Mart Stores East LP enrolled in Medicare?
Yes. Wal-Mart Stores East LP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wal-Mart Stores East LP?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wal-Mart Stores East LP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-6732 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.
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 Arkansas Health & Wellness and 46 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 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wal-Mart Stores East Lp · NPI 1760938013
Pharmacy organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since August 28, 2016.
## Identity
- **NPI:** 1760938013 (Entity type: Organization)
- **Enumerated:** August 28, 2016
- **Primary specialty:** Pharmacy · taxonomy 333600000X
- **Also known as:** Walmart Pharmacy 10-6732 (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Canonic, SENIOR DIRECTOR, ENROLLMENT
## Practice location
- **Address:** 4196 BEMISS RD, Valdosta, GA 31605-7830
- **Phone:** (229) 588-7577 · **Fax:** (229) 588-7576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
- **Other identifiers:** Medicaid 003182681A (GA); Other 2164042
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Source: [NPI Profile](https://npiprofile.com/npi/1760938013) · Data from the CMS NPPES public registry.