WAL-MART PHARMACY 10-4216
NPI 1053445114
Pharmacy - Community/Retail Pharmacy in Columbus, IN

Q: What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1053445114. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Wal-Mart Pharmacy 10-4216.

Q: What is Wal-Mart Stores East, LP's specialty?

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

Active since March 14, 2007CLIA 15D2146978 · Waiver

2025 MERCHANT MILE, COLUMBUS, IN 47201(812) 376-9385 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Wal-mart Pharmacy 10-4216 NPPES

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

WAL-MART PHARMACY 10-4216 (NPI 1053445114) is a healthcare organization registered as a community/retail pharmacy in Columbus, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Kari Baker, Pharmacy Licensing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1053445114

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST, LP

Location Address2025 MERCHANT MILEColumbus, IN 47201

Mailing Address702 Sw 8th StreetBentonville, AR 72716-0230 · (479) 273-6874

Phone(812) 376-9385

Organization SubpartNo

Authorized OfficialKari BakerPharmacy Licensing Supervisor · (479) 273-6874

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053445114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

2025 MERCHANT MILE, Columbus, IN 47201

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-4216

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 15D2146978

Walmart Pharmacy #10-4216 · Columbus, IN

Active · expires Apr 9, 2028

CLIA Number15D2146978

Laboratory TypePharmacy

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorTracey Clifford

Laboratory Phone(812) 376-8680

Laboratory LocationWalmart Pharmacy #10-42162025 Merchant Mile, Columbus, IN 47201

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-4216 carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Pharmacy 10-4216

DMEPOS supplier · Columbus, INOperated by Wal-Mart Stores East, LP

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Does not accept Medicare assignment

Wal-Mart Pharmacy 10-4216 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)20497271

Medicare Participant SinceJuly 1, 2014

Supplier Location2025 Merchant MileColumbus, IN 47201

Phone(812) 376-9385

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

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

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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 6

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

MRS. KIM VOLLAND LITTRELL RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)