WAL-MART STORES EAST LP – NPI #1013934413
Pharmacy

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

WAL-MART STORES EAST LP is a pharmacy located in ORLANDO, FL. NPPES has assigned the NPI number 1013934413 to WAL-MART STORES EAST LP on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336S0011X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Specialty Pharmacy

The NPI profile was last updated on Jun 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAL-MART STORES EAST LP below.

NPI Profile for
WAL-MART STORES EAST LP

NPI Number
1013934413
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAL-MART STORES EAST LP
Primary location
2354 COMMERCE PARK DR STE 100
ORLANDO, FL 32819-8601
Phone: (877) 453-4566 Fax: (866) 537-0877
Mailing address
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone: (479) 277-1242 Fax:
Organization Subpart
No
Authorized Official
KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (479) 371-1168
Updated
Certification Date
Jun 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WAL-MART STORES EAST LP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherPK2015188
medicaidAL1013934413
medicaidCO80658873
medicaidFL006340
medicaidFL25831800
medicaidFL3810010863
medicaidFL100505069
medicaidFL1013934413
medicaidFL025831800
medicaidFL100445350C
medicaidNJ0311413
medicaidPA1007455310380
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336S0011X
- Pharmacy / Specialty Pharmacy (Primary)
FL PH18943

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669