WALMART INC.
NPI 1013072123
Pharmacy - Community/Retail Pharmacy in Syracuse, UT

Active since December 27, 2006CLIA 46D2138513 · Waiver
2228 W 1700 S, SYRACUSE, UT 84075(801) 775-9880 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Feb 28, 2018, Feb 17, 2017 and 1 more (4 updates tracked since 2016).

About Walmart Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART INC. (NPI 1013072123) is a healthcare organization registered as a community/retail pharmacy in Syracuse, Utah and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Kimberly Canonic, Senior Director Enrollment, as its authorized official.

NPPES Registry Identity

NPI1013072123
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address2228 W 1700 SSyracuse, UT 84075-7126
Mailing Address702 Sw 8th StBentonville, AR 72716-6209
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director Enrollment · (480) 853-0515
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1013072123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in UT · 63758311703
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2228 W 1700 S, Syracuse, UT 84075

Other Identifiers 1

Other2100909Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2138513

Walmart Pharmacy 10-3848 · Syracuse, UT
Active · expires Oct 18, 2027
CLIA Number46D2138513
Laboratory TypePharmacy
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorJonathan Hunter
Laboratory Phone(801) 775-9880
Laboratory LocationWalmart Pharmacy 10-38482228 W 1700 S, Syracuse, UT 84075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
81 services81 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
79 services79 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal Mart Pharmacy 10-3848 carries, from the Medicare DMEPOS supplier directory.

Wal Mart Pharmacy 10-3848

DMEPOS supplier · Syracuse, UTOperated by Walmart Inc

Does not accept Medicare assignment

Wal Mart Pharmacy 10-3848 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20441447
Medicare Participant SinceJanuary 1, 2019
Supplier Location2228 W 1700 SSyracuse, UT 84075
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2228 W 1700 S
SYRACUSE, UT 84075
Pharmacist
2228 W 1700 S
SYRACUSE, UT 84075
Clinic/Center (Health Service)
2228 W 1700 S
SYRACUSE, UT 84075
Optometrist
2228 W 1700 S
SYRACUSE, UT 84075
Eyewear Supplier
2228 W 1700 S
SYRACUSE, UT 84075
Optometrist
2228 W 1700 S
SYRACUSE, UT 84075
Pharmacist
2228 W 1700 S
SYRACUSE, UT 84075
Pharmacist
2228 W 1700 S
SYRACUSE, UT 84075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1013072123. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Walmart Inc. located?

Walmart Inc. is located at 2228 W 1700 S, Syracuse, UT 84075. The listed phone number is (801) 775-9880.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal Mart Pharmacy 10-3848 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Walmart Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2138513) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walmart Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Walmart Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walmart Inc. was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.