WAL-MART STORES EAST LP
NPI 1952328163
Pharmacy - Community/Retail Pharmacy in Ocoee, FL

Active since July 16, 2006
10500 W COLONIAL DR, OCOEE, FL 34761(407) 877-6910 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 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 1952328163), doing business as Walmart Pharmacy 10-0942, is a healthcare organization registered as a community/retail pharmacy in Ocoee, Florida and active in the NPI registry since July 2006. The organization lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1952328163
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address10500 W COLONIAL DROcoee, FL 34761-2946
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 1952328163 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 · PH15418
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
10500 W COLONIAL DR, Ocoee, FL 34761

Other Names 1

Doing Business AsWalmart Pharmacy 10-0942

Other Identifiers 2

Other2007816Pk
Medicaid109365700FL

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 10D2189741

Wal-Mart Stores East LP · Ocoee, FL
Expired · Aug 4, 2026
CLIA Number10D2189741
Laboratory TypePharmacy
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorThu Nguyen
Laboratory Phone(407) 877-6910
Laboratory LocationWal-Mart Stores East LP10500 W Colonial Dr, Ocoee, FL 34761
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.
74 services72 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.
69 services67 patients

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
10500 W COLONIAL DR
OCOEE, FL 34761
Eyewear Supplier
10500 W COLONIAL DR
OCOEE, FL 34761
Pharmacist
10500 W COLONIAL DR
OCOEE, FL 34761
Pharmacist
10500 W COLONIAL DR
OCOEE, FL 34761
Pharmacist
10500 W COLONIAL DR
OCOEE, FL 34761

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 1952328163. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0942.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 10500 W Colonial Dr, Ocoee, FL 34761. The listed phone number is (407) 877-6910.

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.

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 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.