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WAL-MART STORES EAST LP
NPI 1861419079
Pharmacy - Community/Retail Pharmacy in Orlando, FL

Active since July 16, 2006CLIA 10D2191434 · Waiver
8101 S JOHN YOUNG PKWY, ORLANDO, FL 32819(407) 354-5474 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 10, 2023, Feb 16, 2017 (3 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 1861419079), doing business as Walmart Pharmacy 10-0908, is a healthcare organization registered as a community/retail pharmacy in Orlando, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1861419079
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address8101 S JOHN YOUNG PKWYOrlando, FL 32819-9021
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(407) 354-5474
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1861419079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH15436
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
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
8101 S JOHN YOUNG PKWY, Orlando, FL 32819
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0908

Other Identifiers 2

Medicaid101778100FL
Other2007817Pk

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 10D2191434

Wal-Mart Stores East LP · Orlando, FL
Active · expires Aug 26, 2026
CLIA Number10D2191434
Laboratory TypePharmacy
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorHan Min
Laboratory Phone(407) 354-5474
Laboratory LocationWal-Mart Stores East LP8101 S John Young Pkwy, Orlando, FL 32819
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.
28 services28 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.
24 services24 patients

Other Providers at the Same Location NPPES 16

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

DR. RODOLFO E. AGUILERA O.D.
Optometrist
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 226-0549
MISS GABRIELA ESTHER LEON DO6754
Technician/Technologist (Optician)
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 354-1238
DR. ROBERT BENTON CURTIS O.D.
Optometrist
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 226-0549
EDWARD KELLY ALTMAN II PHARM D
Pharmacist
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 413-2074
DR. SAMI ALAGIC PHARMD
Pharmacist
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 354-5474
DR. JAILENE M TORRES MORALES PHARMD
Pharmacist
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 354-5474
MR. EUGENIO L TORRES-AYALA
Technician/Technologist (Optician)
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 583-9372
TRI BUI PHARMD
Pharmacy (Community/Retail Pharmacy)
8101 S JOHN YOUNG PKWY
ORLANDO, FL 32819
Orange County (407) 354-5474

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 1861419079. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0908.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 8101 S John Young Pkwy, Orlando, FL 32819. The listed phone number is (407) 354-5474.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2191434) is associated with this NPI, valid through August 26, 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 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 4, 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.