Wal-mart Stores East , Lp
Community/Retail Pharmacy Accepts Medicare
10290 Diberville Blvd, Diberville
Mississippi, 39540-2536
228-271-6753 228-271-6757
Wal-mart Stores East , Lp is a Community/Retail Pharmacy in Diberville, Mississippi. It is located at 10290 Diberville Blvd, Diberville and it's customer support contact number is 228-271-6753. 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 13428/ 1.2 for Community/Retail Pharmacy in Mississippi. 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: | 10290 Diberville Blvd, Diberville,
Mississippi, 39540-2536 |
| Phone: | 228-271-6753 |
| Fax: | 228-271-6757 |
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: | 1952710493 |
| NPI Enumeration Date: | 08 Aug, 2014 |
| NPI Last Update On: | 09 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 | 13428/ 1.2 | Mississippi | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 2147300 | Other | | Pk |
| 02879529 | Medicaid | Mississippi | |
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 | O20141230000167 | 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: | 479-277-4331 |
Patients can reach Wal-mart Stores East , Lp at
10290 Diberville Blvd, Diberville, Mississippi or can
call on customer care at 228-271-6753.
Comments/ Reviews:
Read all the reviews posted for Wal-mart Stores East , Lp below. You may also share your own experience with Wal-mart Stores East , Lp. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.