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WALMART INC.
NPI 1043419039
Pharmacy - Community/Retail Pharmacy in Litchfield, MN

Active since July 11, 2007CLIA 24D2154303 · Waiver
2301 EAST FRONTAGE ROAD, LITCHFIELD, MN 55355(320) 693-2004 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2025, Feb 27, 2018, Feb 21, 2017 and 2 more (5 updates tracked since 2015).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1043419039) is a healthcare organization registered as a community/retail pharmacy in Litchfield, Minnesota and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Kimberly Canonic, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1043419039
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address2301 EAST FRONTAGE ROADLitchfield, MN 55355
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(320) 693-2004
Organization SubpartNo
Authorized OfficialKimberly CanonicSenior Director, Enrollment · (480) 853-0515
Enumeration DateJuly 11, 2007
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1043419039 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 MN · 263059
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
2301 EAST FRONTAGE ROAD, Litchfield, MN 55355
Open in Google Maps ↗

Other Identifiers 2

Other2049241Pk
Medicaid492470000MN

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 24D2154303

Walmart Pharmacy 10-4374 · Litchfield, MN
Active · expires Sep 10, 2026
CLIA Number24D2154303
Laboratory TypePharmacy
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorAnish Pathak
Laboratory Phone(320) 693-2004
Laboratory LocationWalmart Pharmacy 10-43742301 East Frontage Road, Litchfield, MN 55355
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 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.
234 services228 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.
225 services219 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.
25 services25 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.
24 services24 patients

Frequently Asked Questions

What is WALMART INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1043419039, enumerated as an "organization" on July 11, 2007.

Where is the provider located?

The provider is located at 2301 EAST FRONTAGE ROAD LITCHFIELD, MN 55355 and the phone number is (320) 693-2004.

What is the provider's specialty?

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

What insurance does WALMART INC. 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.