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Wal-Mart Stores East Lp

Pharmacy in Vero Beach, FL · enumerated 2016 · authorized official Kimberly Canonic, Senior Director, Enrollment.

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

National Provider Identifier

1881146371

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Registry record

Entity type Organization (Type 2)
Legal business name Wal-Mart Stores East Lp
Other name <Unavail>
Practice address 1750 Us Highway 1, Vero Beach, FL, 32960
Phone (772) 410-2642
Fax (772) 410-2641
Enumeration date Oct 31, 2016
Last updated in NPPES Jun 10, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License PH30696 (FL) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Kimberly Canonic
Title Senior Director, Enrollment
Phone (480) 277-6348

Other identifiers

Identifier Type State Issuer
2167508 Other - PK
020517900 Medicaid FL -
020517901 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.

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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 2025-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Wal-Mart Stores East Lp located?
The practice location on file with NPPES is in Vero Beach, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.