OrganizationActive
Wal-Mart Stores East, Lp
NPI 1275486367 · Pharmacy · Lady Lake, FL
Wal-Mart Stores East, Lp is a Pharmacy organization in Lady Lake, FL (NPI 1275486367).
Provider details
- NPI number
- 1275486367
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Director of Health Care Contracting(480) 853-0515
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 Hwy 466
Lady Lake, FL 32159-4227
Phone: (352) 561-7744
Approximate (ZIP-level) locationGet directions
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Wal-Mart Stores East, Lp's NPI number?
- Wal-Mart Stores East, Lp's National Provider Identifier (NPI) is 1275486367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wal-Mart Stores East, Lp?
- Wal-Mart Stores East, Lp is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Wal-Mart Stores East, Lp located?
- Wal-Mart Stores East, Lp's practice location on file with NPPES is 1220 Hwy 466, Lady Lake, FL 32159-4227.
- What is Wal-Mart Stores East, Lp's phone number?
- The practice phone number listed in the NPPES registry for Wal-Mart Stores East, Lp is (352) 561-7744.
- Who is the authorized official for Wal-Mart Stores East, Lp?
- The authorized official listed on Wal-Mart Stores East, Lp's NPPES record is Kimberly Canonic, Director of Health Care Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wal-Mart Stores East, Lp's NPI active?
- Yes — Wal-Mart Stores East, Lp's NPI (1275486367) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.