1. Home
  2. Directory
  3. Florida
  4. Cape Coral
  5. Pharmacy
  6. NPI Profile

WAL-MART STORES EAST LP
NPI 1992153191
Pharmacy in Cape Coral, FL

Active since May 27, 2016CLIA 10D2275191 · Waiver
2020 NE PINE ISLAND RD, CAPE CORAL, FL 33909(239) 800-6067(239) 800-6066 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Feb 20, 2017, Feb 17, 2017 and 1 more (4 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 1992153191), doing business as Walmart Pharmacy 10-6941, is a healthcare organization registered as a pharmacy in Cape Coral, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992153191
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address2020 NE PINE ISLAND RDCape Coral, FL 33909-1766
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(239) 800-6067
Fax(239) 800-6066
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 277-6348
Enumeration DateMay 27, 2016
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1992153191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH30241
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2020 NE PINE ISLAND RD, Cape Coral, FL 33909
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-6941

Other Identifiers 3

Medicaid018650300FL
Medicaid018650301 DMEFL
Other2162011Pk

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 10D2275191

Wal-Mart Stores East LP · Cape Coral, FL
Active · expires Jan 17, 2027
CLIA Number10D2275191
Laboratory TypePharmacy
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorMittal Patel
Laboratory Phone(239) 800-6067
Laboratory LocationWal-Mart Stores East LP2020 NE Pine Island Rd, Cape Coral, FL 33909
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 4

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.
89 services88 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.
88 services87 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-6941 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-6941

DMEPOS supplier · Cape Coral, FLOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-6941 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)20497895
Medicare Participant SinceJuly 1, 2014
Supplier Location2020 NE Pine Island RoadCape Coral, FL 33909
Phone(239) 800-6067
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 4

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

MITTAL PATEL
Pharmacist
2020 NE PINE ISLAND RD
CAPE CORAL, FL 33909
Lee County (239) 800-6067
JIGNESH ATMARAM PATEL R.PH.
Pharmacist
2020 NE PINE ISLAND RD
CAPE CORAL, FL 33909
Lee County (239) 800-6067
RHONDA HARKOO-MAHABIR
Pharmacist
2020 NE PINE ISLAND RD
CAPE CORAL, FL 33909
Lee County (239) 800-6067
LONG NGUYEN PHARM.D.
Pharmacist
2020 NE PINE ISLAND RD
CAPE CORAL, FL 33909
Lee County (239) 800-6067

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 1992153191. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Walmart Pharmacy 10-6941.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 2020 NE Pine Island Rd, Cape Coral, FL 33909. The listed phone number is (239) 800-6067.

What is Wal-Mart Stores East LP's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Wal-Mart Stores East LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Walmart Pharmacy 10-6941 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 10D2275191) is associated with this NPI, valid through January 17, 2027. 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 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.