Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Hialeah, FL, holding Type 2 (organization) NPI 1760409148 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760409148 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 5851 NW 177TH ST, Hialeah, FL, 33015 |
| Phone | 3055587490 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2025-07-14 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4802776348 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PH15343 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101357200 | Medicaid | FL | — |
| 2011135 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1760409148 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 5851 NW 177TH ST, Hialeah, FL, 33015
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306938501 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Hialeah, FL |
| 1942394093 | Damian Lue | Individual | Optometrist | Hialeah, FL |
| 1912025545 | Arcadia Healthcare Solutions, Inc. | Organization | Oxygen Equipment & Supplies (DME) | Hialeah, FL |
| 1710126883 | Jessica Hayward | Individual | Optometrist | Hialeah, FL |
| 1689902272 | Damian Lue, O.D., P.A. | Organization | Optometrist | Hialeah, FL |
| 1104187947 | Walmart | Organization | Community/Retail Pharmacy | Hialeah, FL |
| 1255748455 | Mary Jane Cuevas | Individual | Pharmacist | Hialeah, FL |
| 1679173413 | Samira Hernandez | Individual | Pharmacist | Hialeah, FL |
Verify this record
Cross-check NPI 1760409148 against the authoritative CMS record: view Wal-Mart Stores East Lp on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Wal-Mart Stores East Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-14.