Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wal-Mart Stores East Lp

Specialty Pharmacy in Orlando, FL · enumerated 2006 · authorized official Kimberly Canonic, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013934413

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Registry record

Entity type Organization (Type 2)

Legal business name Wal-Mart Stores East Lp

Other name <Unavail>

Practice address 2354 Commerce Park Dr Ste 100, Orlando, FL, 32819

Phone (877) 453-4566

Fax (866) 537-0877

Enumeration date Jul 16, 2006

Last updated in NPPES Jun 12, 2025

Taxonomy & classification

3336S0011X Specialty Pharmacy Suppliers · License 965 (ND) Secondary

3336S0011X Specialty Pharmacy Suppliers · License PHA-MOP-LIC-12447 (MT) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 262265 (MN) Secondary

3336S0011X Specialty Pharmacy Suppliers · License FL873 (KY) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 054.015021 (IL) Secondary

3336S0011X Specialty Pharmacy Suppliers · License OS01543 (AR) Primary

3336S0011X Specialty Pharmacy Suppliers · License 64000468A (IN) Secondary

3336S0011X Specialty Pharmacy Suppliers · License PHY.005063-OS (LA) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 22601 (TX) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 3872 (TN) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 5301007714 (MI) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 2003010214 (MO) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 99-6096 (OK) Secondary

3336S0011X Specialty Pharmacy Suppliers · License PH18943 (FL) Secondary

3336S0011X Specialty Pharmacy Suppliers · License 021368750-03 (OH) Secondary

Authorized official

Name Kimberly Canonic

Title Senior Director, Enrollment

Phone (479) 371-1168

Other identifiers

Identifier	Type	State	Issuer
006340	Medicaid	FL	-
025831800	Medicaid	FL	-
0311413	Medicaid	NJ	-
1013934413	Medicaid	AL	-
25831800	Medicaid	FL	-
80658873	Medicaid	CO	-
2015188	Other	-	PK
3810010863	Medicaid	FL	-
1013934413	Medicaid	FL	-
1007455310380	Medicaid	PA	-
100445350C	Medicaid	FL	-
100505069	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-12. Verify at npiregistry.cms.hhs.gov.

Where is Wal-Mart Stores East Lp located?

The practice location on file with NPPES is in Orlando, FL.

Providers at this address

Browse all →

Nilay Vadsola Pharmacist · Orlando, FL NPI 1871861062 Phuong Pham Pharmacist · Orlando, FL NPI 1619247442 Adam Thalla Pharmacist · Orlando, FL NPI 1609393016 Nicole Stinner Pharmacist · Orlando, FL NPI 1033636592 Ojas Sampat Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Orlando, FL NPI 1942727326 Ashley Addie Pharmacist · Orlando, FL NPI 1598282055 Troy Lizyness Pharmacist · Orlando, FL NPI 1639696974 Nadine Nashed Pharmacist · Orlando, FL NPI 1346767456

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-12.