Wal-mart Stores East Lp is an authorized DME supplier for medicare equipments and products.
Wal-mart Stores East Lp is a Community/Retail Pharmacy in St Augustine, Florida. It is located at 2355 Us Highway 1 S, St Augustine and it's customer support contact number is 904-794-4134. 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 480-277-6348. Active license number of Wal-mart Stores East Lp is PH15457 for Community/Retail Pharmacy in Florida. 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 where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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:
Community/Retail Pharmacy
Location:
2355 Us Highway 1 S, St Augustine, Florida, 32086-6072
Phone:
904-794-4134
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:
480-277-6348
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:
1407873714
NPI Enumeration Date:
16 Jul, 2006
NPI Last Update On:
02 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
Community/Retail Pharmacy
PH15457
Florida
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Specialty Pharmacy
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
105158000
Medicaid
Florida
2006830
Other
Pk
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
O20100930029162
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:
--
Fax Number:
--
Patients can reach Wal-mart Stores East Lp at 2355 Us Highway 1 S, St Augustine, Florida or can call on customer care at 904-794-4134.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in St Augustine, Florida
Publix Super Markets Inc Address: 4255 Us Highway 1 S, St Augustine, FL Phone: 904-794-1104 Fax: 904-794-5590Walgreen Co Address: 2075 Us Highway 1 S, St Augustine, FL Phone: 904-829-5240 Southeast Orthopedic Specialists, Inc Speciality:Non-Pharmacy Dispensing Site Address: 1690 Us Highway 1 S, St Augustine, FL Phone: 904-634-0640 Fax: 904-634-0203Walgreen Co. Address: 5445 State Road 16, St Augustine, FL Phone: 904-940-5556 Fax: 904-940-8965St. Augustine Foot & Ankle, Inc. Speciality:Non-Pharmacy Dispensing Site Address: 105 Southpark Blvd, Ste A103, St Augustine, FL Phone: 904-824-0869 Metro Treatment Of Florida, Lp Address: 3574 Us 1 S, Suites 101-104, St Augustine, FL Phone: 904-217-7161 Fax: 904-217-4075