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 1629558937

Wal-Mart Stores East, LP is a Durable Medical Equipment & Medical Supplies in Saint Johns, Florida. Registered with an NPI since 2018.

In the registry since
2018
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

845 Durbin Pavilion Dr
Saint Johns, FL 32259-0000
Phone: (479) 277-9170
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1629558937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-0928; Walmart Pharmacy 10-0928
NPI enumeratedAugust 16, 2018
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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