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WAL-MART STORES EAST LP
NPI 1851739130
Pharmacy - Community/Retail Pharmacy in Orlando, FL

Active since June 10, 2013
4520 S SEMORAN BLVD, ORLANDO, FL 32822(407) 563-9170 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Feb 15, 2017, Dec 13, 2016 (3 updates tracked since 2016).

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 1851739130), doing business as Walmart Pharmacy 10-4142, is a healthcare organization registered as a community/retail pharmacy in Orlando, Florida and active in the NPI registry since June 2013. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1851739130
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address4520 S SEMORAN BLVDOrlando, FL 32822-2408
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 277-2500 · Fax (479) 277-4331
Phone(407) 563-9170
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJune 10, 2013
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1851739130 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 · PH27045
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
4520 S SEMORAN BLVD, Orlando, FL 32822
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4142

Other Identifiers 2

Other2140954Pk
Medicaid009495700FL

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 ›

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-4142 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-4142

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

Does not accept Medicare assignment

Wal-Mart Pharmacy 10-4142 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)20503805
Medicare Participant SinceJuly 1, 2014
Supplier Location4520 S Semoran BlvdOrlando, FL 32822
Phone(407) 563-9170
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 3

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

DR. LYSANDRA HALL PHARMD
Pharmacist
4520 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 563-9170
YA-YUN TSAI
Pharmacist
4520 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 658-1349
LUIS ANTONIO NUNEZ OCAMPO PHARMD
Pharmacist
4520 S SEMORAN BLVD
ORLANDO, FL 32822
Orange County (407) 563-9170

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 1851739130. It was assigned to this organization in the NPPES registry on June 10, 2013. The provider is doing business as WalMart Pharmacy 10-4142.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 4520 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (407) 563-9170.

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 Pharmacy 10-4142 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 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 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.