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WALMART INC. NPI 1174824395


NPI Information

NPI: 1174824395
Provider Name: WALMART INC.

Doing Business As: WALMART PHARMACY 10-2997

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2139519

Address:
616 N GARLAND AVE STE 363
SUITE 363
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 443-1658
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WALMART INC. is a community/retail pharmacy pharmacy in Fayetteville, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALMART INC. NPI is 1174824395. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-2997.

The provider's business location address is:

616 N GARLAND AVE STE 363
SUITE 363
FAYETTEVILLE, AR
ZIP 72701-116
Phone: (479) 443-1658
Fax: (479) 443-8038

The provider's authorized official is Sarah Little .
The authorized official title is Director Of Healthcare Contracting and has the following contact phone number (479) 277-2500.

The CLIA number assigned to this NPI record is 04D2139519 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20640ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100238800AMEDICAIDOKLAHOMA
21174824395MEDICAIDMISSOURI
3186892407MEDICAIDARKANSAS
42127442OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.