NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

WAL-MART STORES EAST LP
9047 CURRY FORD ROAD
ORLANDO, FL32825
 Phone: 407-845-6530
 Fax: 407-845-6530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WAL-MART STORES EAST LP

NPI Number 1093161424
LBN Legal business name WAL-MART STORES EAST LP
Authorized official KIMBERLY CANONIC - (SENIOR DIRECTOR, ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2016
Last updated 07/08/2025 - About 11 months ago
Identifiers
FL License # PH30152
FL Medicaid 017714700
FL Medicaid 017714701 DME
Other 2160130 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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