WAL-MART STORES EAST LP NPI 1356201867

NPI Information

  • NPI: 1356201867
  • Provider Name: WAL-MART STORES EAST, LP
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 1115 WAXMAN DR
    THE VILLAGES, FL
    ZIP 32163
  • Phone: (352) 461-5369

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NPI Details

WAL-MART STORES EAST, LP is a pharmacy in The Villages, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WAL-MART STORES EAST, LP NPI is 1356201867. The provider is registered as an organization entity type.

The provider's business location address is:

1115 WAXMAN DR
THE VILLAGES, FL
ZIP 32163-115
Phone: (352) 461-5369

The provider's authorized official is Kimberly Canonic .
The authorized official title is Director Of Health Care Contracting and has the following contact phone number (480) 277-6348.

The enumeration date for this NPI number is 11/17/2025 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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