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WALMART INC.
NPI 1104063635
Pharmacy - Community/Retail Pharmacy in Cedar Hills, UT

Active since January 21, 2009
4689 W CEDAR HILLS DR, CEDAR HILLS, UT 84062(801) 756-5067 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Aug 29, 2023, Jul 19, 2018 and 3 more (6 updates tracked since 2016).

About Walmart Inc. NPPES

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

WALMART INC. (NPI 1104063635), doing business as Walmart Pharmacy 10-4689, is a healthcare organization registered as a community/retail pharmacy in Cedar Hills, Utah and active in the NPI registry since January 2009. The organization lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1104063635
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART INC.
Location Address4689 W CEDAR HILLS DRCedar Hills, UT 84062-8093
Mailing Address702 Sw 8th StBentonville, AR 72716 · (479) 277-1238 · Fax (479) 277-4331
Phone(801) 756-5067
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJanuary 21, 2009
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1104063635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 7218631-1703
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.

4689 W CEDAR HILLS DR, Cedar Hills, UT 84062
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Other Names 1

Doing Business AsWalmart Pharmacy 10-4689

Other Identifiers 2

Medicaid1104063635UT
Other2118803Pk

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 ›

Areas of Expertise CMS Part B claims 4

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.
187 services182 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.
185 services180 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.
40 services39 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.
34 services33 patients

Other Providers at the Same Location NPPES

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

TIFFANI RAE ROBISON RPH
Pharmacist
4689 W CEDAR HILLS DR
CEDAR HILLS, UT 84062
Utah County (801) 756-5210

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 Walmart Inc.'s NPI number?

The NPI number for Walmart Inc. is 1104063635. It was assigned to this organization in the NPPES registry on January 21, 2009.

Where is Walmart Inc. located?

Walmart Inc. is located at 4689 W Cedar Hills Dr, Cedar Hills, UT 84062. The listed phone number is (801) 756-5067.

What is Walmart Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Walmart Inc. 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 Walmart Inc. 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 Walmart Inc. was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.