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WALMART PHARMACY 10-3839
NPI 1053702860
Pharmacy - Community/Retail Pharmacy in Clinton, LA

Active since February 16, 2015CLIA 01D2159103 · Waiver
9181 HIGHWAY 67, CLINTON, LA 70722(256) 828-0029 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walmart Pharmacy 10-3839 NPPES

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

WALMART PHARMACY 10-3839 (NPI 1053702860) is a healthcare organization registered as a community/retail pharmacy in Clinton, Louisiana and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Laura Levine, Director Of Healthcare Contrac, as its authorized official.

NPPES Registry Identity

NPI1053702860
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address9181 HIGHWAY 67Clinton, LA 70722-4919
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(256) 828-0029
Organization SubpartNo
Authorized OfficialLaura LevineDirector Of Healthcare Contrac · (479) 204-8550
Enumeration DateFebruary 16, 2015
Last NPPES UpdateAugust 4, 2015
✔ NPI 1053702860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · PHY.007107-RC
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.
9181 HIGHWAY 67, Clinton, LA 70722
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Other Names 1

Doing Business AsWalmart Pharmacy 10-3839

Other Identifiers 3

Medicaid2203673LA
Other2150364Pk
Medicare NSC4355052801

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 01D2159103

Walmart Pharmacy 10-6878 · Hazel Green, AL
Active · expires Dec 11, 2026
CLIA Number01D2159103
Laboratory TypePharmacy
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorRandy Johns
Laboratory Phone(256) 828-0029
Laboratory LocationWalmart Pharmacy 10-687814595 Hwy 231-431 N, Hazel Green, AL 35750
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1053702860. It was assigned to this organization in the NPPES registry on February 16, 2015. The provider is doing business as Walmart Pharmacy 10-3839.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 9181 Highway 67, Clinton, LA 70722. The listed phone number is (256) 828-0029.

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.

Does Wal-Mart Stores East LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2159103) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East LP was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.