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 Pharmacy · NPI 1124996491

Wal-Mart Stores East, LP is a Pharmacy in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

10000 Omni Dr
Jacksonville, FL 32222-4171
Phone: (904) 934-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1124996491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Director Of Health Care Contracting · (480) 277-6348
NPI enumeratedOctober 28, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address1 Customer Dr, Bentonville, AR 72716-0445

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