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WALMART PHARMACY 10-2920
NPI 1033136437
Pharmacy - Community/Retail Pharmacy in Orange Park, FL

Active since July 16, 2006CLIA 10D2275315 · Waiver
1505 COUNTY ROAD 220, ORANGE PARK, FL 32003(904) 278-5988 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, Feb 16, 2017 (2 updates tracked since 2017).

About Walmart Pharmacy 10-2920 NPPES

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

WALMART PHARMACY 10-2920 (NPI 1033136437) is a healthcare organization registered as a community/retail pharmacy in Orange Park, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1033136437
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address1505 COUNTY ROAD 220Orange Park, FL 32003-7926
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(904) 278-5988
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1033136437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH17841
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
Also ListedPharmacyTaxonomy 333600000X
1505 COUNTY ROAD 220, Orange Park, FL 32003
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Other Names 1

Doing Business AsWalmart Pharmacy 10-2920

Other Identifiers 3

Medicaid22808700FL
Other2013881Pk
Medicaid022653000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 10D2275315

Wal-Mart Stores East, LP · Orange Park, FL
Active · expires Jan 18, 2027
CLIA Number10D2275315
Laboratory TypePharmacy
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorMargaret Marangi
Laboratory Phone(904) 278-5988
Laboratory LocationWal-Mart Stores East, LP1505 County Road 220, Orange Park, FL 32003
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
225 services223 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.
219 services217 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.
31 services31 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 patients

Other Providers at the Same Location NPPES 6

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

FLEMING ISLAND 2020 PA
Optometrist
1505 COUNTY ROAD 220
ORANGE PARK, FL 32003
Duval County (904) 215-3005
MARGARET M MARANGI
Pharmacist
1505 COUNTY ROAD 220
FLEMING ISLAND, FL 32003
Duval County (904) 278-5988
ANDREW DIMITRI BERSU
Pharmacist
1505 COUNTY ROAD 220
FLEMING ISLAND, FL 32003
Duval County (904) 278-5988
MICHELLE JORDAN LDO
Technician/Technologist (Optician)
1505 COUNTY ROAD 220
FLEMING ISLAND, FL 32003
Duval County (904) 215-4945
ALEXANDER JORDAN
Technician/Technologist (Optician)
1505 COUNTY ROAD 220
FLEMING ISLAND, FL 32003
Duval County (904) 215-4994
WAL-MART STORES EAST, LP
Eyewear Supplier
1505 COUNTY ROAD 220
ORANGE PARK, FL 32003
Duval County (904) 278-1836

Frequently Asked Questions

What is WAL-MART STORES EAST LP's NPI number?

The NPI number assigned to this healthcare provider is 1033136437, enumerated as an "organization" on July 16, 2006.

Where is the provider located?

The provider is located at 1505 COUNTY ROAD 220 ORANGE PARK, FL 32003 and the phone number is (904) 278-5988.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does WAL-MART STORES EAST LP accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.