WAL-MART PHARMACY 10-2717
NPI 1073532057
Pharmacy - Community/Retail Pharmacy in Hattiesburg, MS

Active since July 19, 2006CLIA 25D2127420 · Waiver
5901 U S HIGHWAY 49, HATTIESBURG, MS 39402(601) 296-9566 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2023, Feb 20, 2017, Dec 18, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-2717 NPPES

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

WAL-MART PHARMACY 10-2717 (NPI 1073532057) is a healthcare organization registered as a community/retail pharmacy in Hattiesburg, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1073532057
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address5901 U S HIGHWAY 49Hattiesburg, MS 39402-2858
Mailing Address702 Sw 8th StBentonville, AR 72716-6209
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1073532057 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 · 04612
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
5901 U S HIGHWAY 49, Hattiesburg, MS 39402

Other Names 1

Doing Business AsWal-mart Pharmacy 10-2717

Other Identifiers 3

Other2045907Pk
Medicaid5759571MS
Medicaid05759571MS

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 48 times for 48 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 45 times for 45 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20491685
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Optician.
Competitive Bidding
NO

Supplies List

  • 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
  • Infusion Drugs -
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Enteral Nutrients - Enteral formula
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2127420
Facility Type
Pharmacy
Certificate Effective Date
March 14, 2025
Certificate Expiration Date
March 13, 2027
Laboratory Director
CHAD MCDONALD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wal-mart Pharmacy 10-2717 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WAL-MART PHARMACY 10-2717

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Pharmacist
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402
Eyewear Supplier
5901 U S HIGHWAY 49
HATTIESBURG, MS 39402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073532057, enumerated as an "organization" on July 19, 2006.

The provider is located at 5901 U S HIGHWAY 49 HATTIESBURG, MS 39402 and the phone number is (601) 296-9566.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.