Wal-Mart Stores East Lp
NPI 1417974718 · Community/Retail Pharmacy · Tampa, FL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wal-Mart Stores East Lp is a Community/Retail Pharmacy organization in Tampa, FL (NPI 1417974718).
Provider details
- NPI number
- 1417974718
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 853-0515
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
Mailing address
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-5220
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Wal-Mart Stores East Lp's NPI number?
- Wal-Mart Stores East Lp's National Provider Identifier (NPI) is 1417974718, 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 Community/Retail Pharmacy (Suppliers).
- Where is Wal-Mart Stores East Lp located?
- Wal-Mart Stores East Lp's practice location on file with NPPES is 8220 N Dale Mabry Hwy, Tampa, FL 33614-2686.
- 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 (813) 887-3058.
- Does Wal-Mart Stores East Lp accept Medicare?
- Wal-Mart Stores East Lp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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, Senior Director, Enrollment. 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 (1417974718) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.