Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1053710566

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Miami Gardens, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
3
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3791 NW 167th St
Miami Gardens, FL 33055-4510
Phone: (305) 914-1974
Fax: (305) 914-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH28752 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1053710566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2907; Walmart Pharmacy 10-2907
NPI enumeratedAugust 20, 2014
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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