WAL-MART STORES EAST LP
NPI: 1851746283
· DAVIE, FL 33024
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/04/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 05/04/2016 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
43 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
43 |
38 |
$0.00 |