Wal-mart Stores East Lp

Specialty Pharmacy Accepts Medicare


  
  2354 Commerce Park Dr Ste 100, Orlando
Florida, 32819-8601

 877-453-4566    866-537-0877
Wal-mart Stores East Lp is a Specialty Pharmacy in Orlando, Florida. It is located at 2354 Commerce Park Dr Ste 100, Orlando and it's customer support contact number is 877-453-4566. The authorized person of Wal-mart Stores East Lp is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 479-371-1168. Active license number of Wal-mart Stores East Lp is OS01543 for Specialty Pharmacy in Arkansas. Wal-mart Stores East Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wal-mart Stores East Lp is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.


Pharmacy Details:
Wal-mart Stores East Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Wal-mart Stores East Lp
Type: Specialty Pharmacy
Location:2354 Commerce Park Dr Ste 100, Orlando,
Florida, 32819-8601
Phone:877-453-4566
Fax:866-537-0877
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Kimberly Canonic
Position: Senior Director, Enrollment
Contact Number: 479-371-1168
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1013934413
NPI Enumeration Date: 16 Jul, 2006
NPI Last Update On: 12 Jun, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Stores East Lp are as mentioned below.
SpecializationLicense NumberStateStatus
Specialty Pharmacy OS01543ArkansasPrimary
Specialty Pharmacy 965North DakotaSecondary
Specialty Pharmacy PHA-MOP-LIC-12447MontanaSecondary
Specialty Pharmacy 262265MinnesotaSecondary
Specialty Pharmacy FL873KentuckySecondary
Specialty Pharmacy 054.015021IllinoisSecondary
Specialty Pharmacy 64000468AIndianaSecondary
Specialty Pharmacy PHY.005063-OSLouisianaSecondary
Specialty Pharmacy 22601TexasSecondary
Specialty Pharmacy 3872TennesseeSecondary
Specialty Pharmacy 5301007714MichiganSecondary
Specialty Pharmacy 2003010214MissouriSecondary
Specialty Pharmacy 99-6096OklahomaSecondary
Specialty Pharmacy PH18943FloridaSecondary
Specialty Pharmacy 021368750-03OhioSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
006340MedicaidFlorida
025831800MedicaidFlorida
0311413MedicaidNew Jersey
1013934413MedicaidAlabama
25831800MedicaidFlorida
80658873MedicaidColorado
2015188OtherPk
3810010863MedicaidFlorida
1013934413MedicaidFlorida
1007455310380MedicaidPennsylvania
100445350CMedicaidFlorida
100505069MedicaidFlorida
Medicare Enrollment:
Wal-mart Stores East Lp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6204749997O20100930049094Wal-mart Stores East LpDME SUPPLIER - PHARMACY
Products Available:
Wal-mart Stores East Lp has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 702 Sw 8th St,
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: 479-277-1242
    Fax Number: --
    Patients can reach Wal-mart Stores East Lp at 2354 Commerce Park Dr Ste 100, Orlando, Florida or can call on customer care at 877-453-4566.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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