WAL-MART STORES EAST LP
NPI 1932217320
Pharmacy - Community/Retail Pharmacy in Miami Gardens, FL

Active since August 27, 2006CLIA 10D2188863 · Waiver
17650 NW 2ND AVE, MIAMI GARDENS, FL 33169(305) 651-4636(479) 277-4331 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, Jul 19, 2018, May 3, 2018 and 1 more (4 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 1932217320), doing business as Walmart Pharmacy 10-3397, is a healthcare organization registered as a community/retail pharmacy in Miami Gardens, Florida and active in the NPI registry since August 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

NPI1932217320
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address17650 NW 2ND AVEMiami Gardens, FL 33169-5019
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Fax(479) 277-4331
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateAugust 27, 2006
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1932217320 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 · PH22165
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
17650 NW 2ND AVE, Miami Gardens, FL 33169

Other Names 1

Doing Business AsWalmart Pharmacy 10-3397

Other Identifiers 2

Other2006899Pk
Medicaid031642300FL

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 10D2188863

Wal-Mart Stores East, LP · Miami Gardens, FL
Active · expires Jul 22, 2028
CLIA Number10D2188863
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorMalcolm Wynter
Laboratory Phone(305) 651-4636
Laboratory LocationWal-Mart Stores East, LP17650 NW 2nd Ave, Miami Gardens, FL 33169
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 5

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

Pharmacist
17650 NW 2ND AVE
MIAMI GARDENS, FL 33169
Optometrist
17650 NW 2ND AVE
MIAMI GARDENS, FL 33169
Pharmacist
17650 NW 2ND AVE
MIAMI, FL 33169
Technician/Technologist (Optician)
17650 NW 2ND AVE
MIAMI, FL 33169
Eyewear Supplier
17650 NW 2ND AVE
MIAMI GARDENS, FL 33169

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 1932217320. It was assigned to this organization in the NPPES registry on August 27, 2006. The provider is doing business as Walmart Pharmacy 10-3397.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 17650 NW 2nd Ave, Miami Gardens, FL 33169. The listed phone number is (305) 651-4636.

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 10D2188863) 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 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.