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WALMART PHARMACY 10-1441
NPI 1083631261
Pharmacy - Community/Retail Pharmacy in Mason, OH

Active since July 16, 2006CLIA 36D2157820 · Waiver
5303 BOWEN DR, MASON, OH 45040(513) 583-9333 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Feb 20, 2017, Dec 18, 2015 (3 updates tracked since 2015).

About Walmart Pharmacy 10-1441 NPPES

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

WALMART PHARMACY 10-1441 (NPI 1083631261) is a healthcare organization registered as a community/retail pharmacy in Mason, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1083631261
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address5303 BOWEN DRMason, OH 45040-6732
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(513) 583-9333
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1083631261 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 OH · 020617150
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
5303 BOWEN DR, Mason, OH 45040
Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-1441

Other Identifiers 3

Other2071665Pk
Medicaid777986OH
Medicaid0777986OH

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 36D2157820

Walmart Pharmacy #10-1441 · Mason, OH
Active · expires Nov 13, 2026
CLIA Number36D2157820
Laboratory TypePharmacy
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorJustin D. Hawks
Laboratory Phone(513) 583-9330
Laboratory LocationWalmart Pharmacy #10-14415303 Bowen Dr, Mason, OH 45040
CLIA data matches this NPI record on: Address Name
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.

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.
114 services114 patients
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.
114 services114 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Stores East LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East LP

DMEPOS supplier · Mason, OH
⋮

Does not accept Medicare assignment

Wal-Mart Stores East LP 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)20504093
Medicare Participant SinceJuly 1, 2014
Supplier Location5303 Bowen DrMason, OH 45040
Phone(513) 583-9333
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
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
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.

JUSTIN DANIEL HAWKS PHARMD
Pharmacist
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 583-9333
JUSTIN LITTLE
Technician/Technologist (Optician)
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 770-4178
TERRY A OLIVER
Technician/Technologist (Optician)
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 770-4178
AMANDA WRIGHT
Technician/Technologist (Optician)
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 770-4178
WAL-MART STORES EAST, LP
Eyewear Supplier
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 583-9333
ANISSA LOUISE DOBZYNECKI
Technician/Technologist (Optician)
5303 BOWEN DR
MASON, OH 45040
Warren County (513) 770-4178

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 1083631261. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-1441.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 5303 Bowen Dr, Mason, OH 45040. The listed phone number is (513) 583-9333.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Stores East LP does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

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

Yes. A Certificate of Waiver (number 36D2157820) is associated with this NPI, valid through November 13, 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 50 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 August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.