WALMART PHARMACY 10-3411
NPI 1114306602
Pharmacy - Community/Retail Pharmacy in Fayetteville, NC

Q: What is Wal-Mart Stores East LP's NPI number?

The NPI number for Wal-Mart Stores East LP is 1114306602. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as Walmart Pharmacy 10-3411.

Q: 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.

Active since May 29, 2015CLIA Certified · 2 labs

8660 CLIFFDALE RD, FAYETTEVILLE, NC 28314(479) 277-2795(479) 277-4331 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Feb 20, 2017, Nov 30, 2015 (3 updates tracked since 2015).

On this page

About Walmart Pharmacy 10-3411 NPPES

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

WALMART PHARMACY 10-3411 (NPI 1114306602) is a healthcare organization registered as a community/retail pharmacy in Fayetteville, North Carolina and active in the NPI registry since May 2015. The organization holds 2 active CLIA laboratory certificates and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1114306602

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address8660 CLIFFDALE RDFayetteville, NC 28314-5858

Mailing Address702 Sw 8th StBentonville, AR 72716-6209 · (479) 277-2795 · Fax (479) 277-4331

Phone(479) 277-2795

Fax(479) 277-4331

Organization SubpartNo

Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500

Enumeration DateMay 29, 2015

Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1114306602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 12643

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

8660 CLIFFDALE RD, Fayetteville, NC 28314

Open in Google Maps ↗

Other Names 1

Doing Business AsWalmart Pharmacy 10-3411

Other Identifiers 2

Medicaid1114306602NC

Other2153058Pk

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 2

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 34D2097308

Walmart Pharmacy 10-3411 · Fayetteville, NC

Active · expires Jun 11, 2027

CLIA Number34D2097308

Laboratory TypePharmacy

Certificate Effective DateJune 12, 2025

Certificate Expiration DateJune 11, 2027

Laboratory DirectorAnane Yaw

Laboratory Phone(479) 258-2145

Laboratory LocationWalmart Pharmacy 10-34118660 Cliffdale Road, Fayetteville, NC 28314

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2139115

Walmart · Fayetteville, NC

Active · expires Oct 30, 2027

CLIA Number34D2139115

Laboratory TypePharmacy

Certificate Effective DateOctober 31, 2025

Certificate Expiration DateOctober 30, 2027

Laboratory DirectorTiffany L. Haverley

Laboratory Phone(910) 488-2828

Laboratory LocationWalmart4601 Ramsey St, Fayetteville, NC 28311

CLIA data matches this NPI record on: Name

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.

58 services58 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.

55 services55 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.

21 services21 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.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-3411 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-3411

DMEPOS supplier · Fayetteville, NCOperated by Wal-Mart Stores East, LP

⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-3411 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)20498375

Medicare Participant SinceJuly 1, 2014

Supplier Location8660 Cliffdale RdFayetteville, NC 28314

Phone(910) 213-1409

Supplier Specialties

Pharmacy

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

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

WALMART NEIGHBORHOOD MARKET

Pharmacy (Community/Retail Pharmacy)

8660 CLIFFDALE RD
FAYETTEVILLE, NC 28314

Cumberland County (910) 213-1409

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 1114306602. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as Walmart Pharmacy 10-3411.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 8660 Cliffdale Rd, Fayetteville, NC 28314. The listed phone number is (479) 277-2795.

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, Walmart Pharmacy 10-3411 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 CLIA laboratory certificates?

Yes. 2 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 49 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 29, 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.