WAL-MART STORES EAST LP
NPI 1871510172
Pharmacy - Community/Retail Pharmacy in Tampa, FL

Active since July 16, 2006CLIA 10D2191366 · Waiver
8885 N FLORIDA AVE, TAMPA, FL 33604(813) 932-0723(479) 277-4331 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Jul 19, 2018, May 3, 2018 and 2 more (5 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 1871510172), doing business as Walmart Pharmacy 10-5221, is a healthcare organization registered as a community/retail pharmacy in Tampa, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1871510172
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address8885 N FLORIDA AVETampa, FL 33604-1415
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Fax(479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 13, 20255 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1871510172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH19981
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
8885 N FLORIDA AVE, Tampa, FL 33604

Other Names 1

Doing Business AsWalmart Pharmacy 10-5221

Other Identifiers 3

Other2007386Pk
Medicaid26843700FL
Medicaid026843700FL

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 10D2191366

Wal-Mart Stores East LP · Tampa, FL
Active · expires Aug 25, 2026
CLIA Number10D2191366
Laboratory TypePharmacy
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorNasya Mcswain
Laboratory Phone(813) 932-0723
Laboratory LocationWal-Mart Stores East LP8885 N Florida Ave, Tampa, FL 33604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal Mart Pharmacy 10-5221 carries, from the Medicare DMEPOS supplier directory.

Wal Mart Pharmacy 10-5221

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

Does not accept Medicare assignment

Wal Mart Pharmacy 10-5221 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)20496515
Medicare Participant SinceJuly 1, 2014
Supplier Location8885 N Florida AveTampa, FL 33604
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
Infusion Drugs
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
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.

Pharmacist
8885 N FLORIDA AVE
TAMPA, FL 33604
Pharmacist
8885 N FLORIDA AVE
TAMPA, FL 33604
Pharmacist
8885 N FLORIDA AVE
TAMPA, FL 33604

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 1871510172. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-5221.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 8885 N Florida Ave, Tampa, FL 33604. The listed phone number is (813) 932-0723.

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 10-5221 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.

Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2191366) is associated with this NPI, valid through August 25, 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 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.