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 1093194938

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
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

1650 San Pablo Rd S
Jacksonville, FL 32224-1036
Phone: (904) 680-3232
Fax: (904) 380-3233
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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 PH29484 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1093194938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-5816
NPI enumeratedMay 26, 2015
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-6209

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