Wal-Mart Stores East Lp
Wal-Mart Stores East Lp is a healthcare organization registered as Community/Retail Pharmacy in Clermont, FL, holding Type 2 (organization) NPI 1770500076 since 2006. The authorized official on file is Kimberly Canonic, Senior Director, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770500076 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wal-Mart Stores East Lp |
| Other name | <Unavail> |
| Practice address | 550 US HIGHWAY 27, Clermont, FL, 34714 |
| Phone | 3525362730 |
| Fax | 4792774331 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2026-05-04 |
Authorized official
| Name | Kimberly Canonic |
|---|---|
| Title | Senior Director, Enrollment |
| Phone | 4808530515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PH20917 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770500076 | Medicaid | FL | — |
| 2009045 | Other | — | PK |
Copy-ready billing details
Provider: Wal-Mart Stores East Lp NPI: 1770500076 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 550 US HIGHWAY 27, Clermont, FL, 34714
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487746152 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Clermont, FL |
| 1295894533 | Mark Hegetschweiler | Individual | Optometrist | Clermont, FL |
| 1770809683 | M.H. Vision Services, Inc. | Organization | Optometrist | Clermont, FL |
| 1356725592 | Erica Nieves | Individual | Optometrist | Clermont, FL |
| 1336519966 | Safira Health Inc. | Organization | Health Service Clinic/Center | Clermont, FL |
| 1497200315 | Chantel Grubbs | Individual | Pharmacist | Clermont, FL |
| 1891395141 | Alyssa Martinez-Harter | Individual | Pharmacist | Clermont, FL |
| 1942887617 | Xuefen Zhang | Individual | Pharmacist | Clermont, FL |
Verify this record
Cross-check NPI 1770500076 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 2026-05-04.