WAL-MART STORES EAST LP
NPI 1861419251
Pharmacy - Community/Retail Pharmacy in Doral, FL

Active since July 16, 2006CLIA 10D2188887 · Waiver
8651 NW 13TH TER, DORAL, FL 33126(305) 470-4530 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 1861419251), doing business as Walmart Pharmacy 10-2091, is a healthcare organization registered as a community/retail pharmacy in Doral, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1861419251
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address8651 NW 13TH TERDoral, FL 33126-1512
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
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 1861419251 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 · PH15393
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
8651 NW 13TH TER, Doral, FL 33126

Other Names 1

Doing Business AsWalmart Pharmacy 10-2091

Other Identifiers 2

Medicaid102809000FL
Other2012645Pk

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 10D2188887

Wal-Mart Stores East, LP · Doral, FL
Active · expires Jul 22, 2028
CLIA Number10D2188887
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorGissell Gallo
Laboratory Phone(305) 470-4530
Laboratory LocationWal-Mart Stores East, LP8651 NW 13th Terrace, Doral, FL 33126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Technician/Technologist (Optician)
8651 NW 13TH TER
DORAL, FL 33126
Pharmacist
8651 NW 13TH TER
DORAL, FL 33126
Pharmacist
8651 NW 13TH TER
DORAL, FL 33126
Technician/Technologist (Optician)
8651 NW 13TH TER
DORAL, FL 33126
Technician/Technologist (Optician)
8651 NW 13TH TER
DORAL, FL 33126
Technician/Technologist (Optician)
8651 NW 13TH TER
DORAL, FL 33126
Eyewear Supplier
8651 NW 13TH TER
DORAL, FL 33126
Technician/Technologist (Optician)
8651 NW 13TH TER
DORAL, FL 33126

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 1861419251. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-2091.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 8651 NW 13th Ter, Doral, FL 33126. The listed phone number is (305) 470-4530.

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 10D2188887) is associated with this NPI, valid through July 22, 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 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.