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WALMART PHARMACY 10-0003
NPI 1104843523
Pharmacy - Community/Retail Pharmacy in Commerce, GA

Active since July 16, 2006CLIA Certified · 18 labs
30983 HIGHWAY 441 S, COMMERCE, GA 30529(706) 335-7818 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Aug 25, 2023, Feb 16, 2017 (3 updates tracked since 2017).

About Walmart Pharmacy 10-0003 NPPES

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

WALMART PHARMACY 10-0003 (NPI 1104843523) is a healthcare organization registered as a community/retail pharmacy in Commerce, Georgia and active in the NPI registry since July 2006. The organization holds 18 active CLIA laboratory certificates and lists Matthew Mcmullin, Director, Contracting, as its authorized official.

NPPES Registry Identity

NPI1104843523
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address30983 HIGHWAY 441 SCommerce, GA 30529-6655
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(706) 335-7818
Organization SubpartNo
Authorized OfficialMatthew McmullinDirector, Contracting · (479) 371-8711
Enumeration DateJuly 16, 2006
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1104843523 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 GA · PHRE006919
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
30983 HIGHWAY 441 S, Commerce, GA 30529
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Other Names 1

Doing Business AsWalmart Pharmacy 10-0003

Other Identifiers 2

Other2015519Pk
Medicaid00364009AGA

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 19

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 11D2178612

Walmart Pharmacy 10-3 · Commerce, GA
Active · expires Feb 5, 2028
CLIA Number11D2178612
Laboratory TypePharmacy
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorHimanshv H. Desai
Laboratory Phone(706) 335-7818
Laboratory LocationWalmart Pharmacy 10-330983 Highway 441 S, Commerce, GA 30529
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2143187

Wal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-3362 · Oak Grove, KY
Active · expires Jan 24, 2028
CLIA Number18D2143187
Laboratory TypePharmacy
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMs. Jennifer L. Marcinek
Laboratory Phone(706) 335-7818
Laboratory LocationWal-Mart Stores East, LP Dba Wal-Mart Pharmacy #10-336214800 Fort Campbell Blvd, Oak Grove, KY 42262
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2146994

Walmart Pharmacy #10-0075 · Pineville, LA
Active · expires Apr 9, 2028
CLIA Number19D2146994
Laboratory TypePharmacy
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorMoten J. Timothy
Laboratory Phone(706) 335-7818
Laboratory LocationWalmart Pharmacy #10-00753636 Monroe Hwy, Pineville, LA 71360
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2144514

Wal-Mart Pharmacy #5059 · Hopkinsville, KY
Active · expires Feb 18, 2028
CLIA Number18D2144514
Laboratory TypePharmacy
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorMr. Benjamin G. Powell
Laboratory Phone(706) 335-7818
Laboratory LocationWal-Mart Pharmacy #50593106 Canton St, Hopkinsville, KY 42240
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2142315

Walmart Pharmacy #10-1266 · Baton Rouge, LA
Active · expires Jan 8, 2028
CLIA Number19D2142315
Laboratory TypePharmacy
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorCedricka S. Griffith
Laboratory Phone(706) 335-7818
Laboratory LocationWalmart Pharmacy #10-12662171 Oneal Ln, Baton Rouge, LA 70816
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2141419

Walmart Pharmacy #10-309 · Abbeville, LA
Active · expires Dec 12, 2027
CLIA Number19D2141419
Laboratory TypePharmacy
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorHolly M. Bostick
Laboratory Phone(706) 335-7818
Laboratory LocationWalmart Pharmacy #10-3093005 Charity Street, Abbeville, LA 70510
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
65 services63 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.
62 services61 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.
18 services17 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.
15 services14 patients

Other Providers at the Same Location NPPES 5

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

BRANDON HUX LDO
Technician/Technologist (Optician)
30983 HIGHWAY 441 S
COMMERCE, GA 30529
Jackson County (706) 335-9689
THOMAS CLAYTON MARTIN JR. PHARMD
Pharmacist
30983 HIGHWAY 441 S
COMMERCE, GA 30529
Jackson County (706) 335-7818
DR. BRITTANY WILLIAMS PHARM. D.
Pharmacist
30983 HIGHWAY 441 S
COMMERCE, GA 30529
Jackson County (706) 335-7818
WAL-MART STORES EAST, LP
Eyewear Supplier
30983 HIGHWAY 441 S
COMMERCE, GA 30529
Jackson County (706) 335-7563
CARINE GRIFFETH PHARMACIST
Pharmacist
30983 HIGHWAY 441 S
COMMERCE, GA 30529
Jackson County (706) 335-7818

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 1104843523. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Walmart Pharmacy 10-0003.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 30983 Highway 441 S, Commerce, GA 30529. The listed phone number is (706) 335-7818.

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 hold CLIA laboratory certificates?

Yes. 18 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 November 6, 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.