Wal-mart Stores East Lp is an authorized DME supplier for medicare equipments and products.
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.
Specialization
License Number
State
Status
Specialty Pharmacy
OS01543
Arkansas
Primary
Specialty Pharmacy
965
North Dakota
Secondary
Specialty Pharmacy
PHA-MOP-LIC-12447
Montana
Secondary
Specialty Pharmacy
262265
Minnesota
Secondary
Specialty Pharmacy
FL873
Kentucky
Secondary
Specialty Pharmacy
054.015021
Illinois
Secondary
Specialty Pharmacy
64000468A
Indiana
Secondary
Specialty Pharmacy
PHY.005063-OS
Louisiana
Secondary
Specialty Pharmacy
22601
Texas
Secondary
Specialty Pharmacy
3872
Tennessee
Secondary
Specialty Pharmacy
5301007714
Michigan
Secondary
Specialty Pharmacy
2003010214
Missouri
Secondary
Specialty Pharmacy
99-6096
Oklahoma
Secondary
Specialty Pharmacy
PH18943
Florida
Secondary
Specialty Pharmacy
021368750-03
Ohio
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
006340
Medicaid
Florida
025831800
Medicaid
Florida
0311413
Medicaid
New Jersey
1013934413
Medicaid
Alabama
25831800
Medicaid
Florida
80658873
Medicaid
Colorado
2015188
Other
Pk
3810010863
Medicaid
Florida
1013934413
Medicaid
Florida
1007455310380
Medicaid
Pennsylvania
100445350C
Medicaid
Florida
100505069
Medicaid
Florida
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 Name
Medicare Entity Type
6204749997
O20100930049094
Wal-mart Stores East Lp
DME 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:
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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.