Walmart Pharmacy 10-3887 – Community/Retail Pharmacy, NPI 1851573588

Walmart Pharmacy 10-3887 is a healthcare provider. based in Avon park, Florida. specializing in Community/Retail Pharmacy. The organization holds a License No. PH23484 (FL). The NPI Number for Walmart Pharmacy 10-3887 is 1851573588

Main info

Organization
Name
Walmart Pharmacy 10-3887
NPI
1851573588
Phone
(863) 453-4177
Address
1041 US HIGHWAY 27 N
Authorized Official
KIMBERLY CANONIC SENIOR DIRECTOR, ENROLLMENT
Enumeration Date
5 December 2007
Last Update Date
8 July 2025

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness100
Years active:18State licenses:17/7 NPPES fields on file

Provider Addresses for Walmart Pharmacy 10-3887

  • 1041 US HIGHWAY 27 N

    AVON PARK, FL 338252504

    Phone: (863) 453-4177

    Fax: (479) 277-4331

    Type: Location

  • Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727160445

    Phone: (479) 204-8550

    Fax: (479) 277-4331

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (144 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930096589OPharmacyFL2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count62691$0
G0008Administration of influenza virus vaccine224221$0
90662Influenza vaccine split virus, preservative free209208$0
90480Admn sarscov2 vacc 1 dose146146$0
91322Sarscov2 vac 50 mcg/0.5ml im138138$0
View full utilization report →

Insurance plans in this area (ZIP 33825)

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Reviews

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Frequently asked questions

Does Walmart Pharmacy 10-3887 have a public NPI I can cite?
Public records show Walmart Pharmacy 10-3887 under NPI 1851573588.
Quick check: is Walmart Pharmacy 10-3887 active?
Public NPPES data shows Walmart Pharmacy 10-3887 with an active NPI status right now.
Which specialty label fits Walmart Pharmacy 10-3887?
NPPES ties Walmart Pharmacy 10-3887 to Community/Retail Pharmacy in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Walmart Pharmacy 10-3887?
The directory associates Walmart Pharmacy 10-3887 with Avon Park, Florida. Check all listed addresses for suites or satellite offices.
Can I export Walmart Pharmacy 10-3887's record?
You can download the official NPPES record; we summarize key fields for readability.

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