WAL-MART PHARMACY 10-2316
NPI 1104843390
Pharmacy - Community/Retail Pharmacy in North Olmsted, OH

Active since July 16, 2006CLIA 36D2175532 · Waiver
24801 BROOKPARK RD, NORTH OLMSTED, OH 44070(440) 979-9416 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2023, Feb 20, 2017, Dec 18, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-2316 NPPES

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

WAL-MART PHARMACY 10-2316 (NPI 1104843390) is a healthcare organization registered as a community/retail pharmacy in North Olmsted, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1104843390
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address24801 BROOKPARK RDNorth Olmsted, OH 44070-3487
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1104843390 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 · 020890600
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
24801 BROOKPARK RD, North Olmsted, OH 44070

Other Names 1

Doing Business AsWal-mart Pharmacy 10-2316

Other Identifiers 3

Other2074028Pk
Medicaid213049OH
Medicaid0213049OH

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 233 times for 232 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 222 times for 221 patients

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
36D2175532
Facility Type
Pharmacy
Certificate Effective Date
November 22, 2025
Certificate Expiration Date
November 21, 2027
Laboratory Director
ROBERT PUNI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wal-mart Pharmacy 10-2316 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 10-2316

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Optometrist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Optometrist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Pharmacist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Pharmacist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Pharmacist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Optometrist
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Technician/Technologist (Optician)
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Technician/Technologist (Optician)
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Technician/Technologist (Optician)
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Technician/Technologist (Optician)
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070
Eyewear Supplier
24801 BROOKPARK RD
NORTH OLMSTED, OH 44070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104843390, enumerated as an "organization" on July 16, 2006.

The provider is located at 24801 BROOKPARK RD NORTH OLMSTED, OH 44070 and the phone number is (440) 979-9416.

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.