WALMART PHARMACY 10-0155
NPI 1073530473
Pharmacy - Community/Retail Pharmacy in Senatobia, MS

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

The NPI number for Wal-Mart Stores East LP is 1073530473. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0155.

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 July 16, 2006CLIA 25D2127404 · Waiver

5219 HIGHWAY 51 N, SENATOBIA, MS 38668(662) 562-8266 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2023, Feb 20, 2017 (2 updates tracked since 2017).

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About Walmart Pharmacy 10-0155 NPPES

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

WALMART PHARMACY 10-0155 (NPI 1073530473) is a healthcare organization registered as a community/retail pharmacy in Senatobia, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1073530473

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address5219 HIGHWAY 51 NSenatobia, MS 38668-1719

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(662) 562-8266

Organization SubpartNo

Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711

Enumeration DateJuly 16, 2006

Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1073530473 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 MS · 01792

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

5219 HIGHWAY 51 N, Senatobia, MS 38668

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Other Names 1

Doing Business AsWalmart Pharmacy 10-0155

Other Identifiers 3

Medicaid04057574MS

Other2044840Pk

Medicaid4057574MS

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 25D2127404

Walmart Pharmacy 10-0155 · Senatobia, MS

Active · expires Mar 13, 2027

CLIA Number25D2127404

Laboratory TypePharmacy

Certificate Effective DateMarch 14, 2025

Certificate Expiration DateMarch 13, 2027

Laboratory DirectorJames M. Clark

Laboratory Phone(662) 562-8266

Laboratory LocationWalmart Pharmacy 10-01555219 Hwy 51 N, Senatobia, MS 38668

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 5

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.

178 services172 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.

151 services151 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.

55 services54 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.

35 services34 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

11 services11 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.

GRANT EYE CARE, LLC

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