WALMART PHARMACY 10-0110
NPI 1073060646
Pharmacy in Winter Garden, FL

Active since September 01, 2016CLIA 10D2190728 · Waiver
16313 NEW INDEPENDENCE PKWY, WINTER GARDEN, FL 34787(407) 554-0181 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Aug 27, 2023, Feb 24, 2017 and 6 more (9 updates tracked since 2016).

About Walmart Pharmacy 10-0110 NPPES

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

WALMART PHARMACY 10-0110 (NPI 1073060646) is a healthcare organization registered as a pharmacy in Winter Garden, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1073060646
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWAL-MART STORES EAST LP
Location Address16313 NEW INDEPENDENCE PKWYWinter Garden, FL 34787-8113
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateSeptember 1, 2016
Last NPPES UpdateNovember 6, 20239 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1073060646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · PH30397
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
16313 NEW INDEPENDENCE PKWY, Winter Garden, FL 34787

Other Names 1

Doing Business AsWalmart Pharmacy 10-0110

Other Identifiers 3

Medicaid019225300FL
Medicaid019225301 DMEFL
Other2164048Pk

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 10D2190728

Wal-Mart Stores East LP · Winter Garden, FL
Active · expires Aug 18, 2026
CLIA Number10D2190728
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorLysandra Mercado
Laboratory Phone(407) 554-0181
Laboratory LocationWal-Mart Stores East LP16313 New Independence Parkway, Winter Garden, FL 34787
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 2

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.
57 services56 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.
53 services52 patients

Other Providers at the Same Location NPPES 4

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

General Practice
16313 NEW INDEPENDENCE PKWY
WINTER GARDEN, FL 34787
Pharmacist
16313 NEW INDEPENDENCE PKWY
WINTER GARDEN, FL 34787
Pharmacist
16313 NEW INDEPENDENCE PKWY
WINTER GARDEN, FL 34787
Pharmacist
16313 NEW INDEPENDENCE PKWY
WINTER GARDEN, FL 34787

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 1073060646. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Walmart Pharmacy 10-0110.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 16313 New Independence Pkwy, Winter Garden, FL 34787. The listed phone number is (407) 554-0181.

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

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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

Yes. A Certificate of Waiver (number 10D2190728) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wal-Mart Stores East LP 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 51 other insurers list Wal-Mart Stores East LP 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 Wal-Mart Stores East LP was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.