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WALMART CARE CLINIC 10-0511
NPI 1114332665
Nurse Practitioner in Sumter, SC

Active since June 24, 2014
1283 BROAD ST, SUMTER, SC 29150(803) 905-5528(803) 905-5530 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walmart Care Clinic 10-0511 NPPES

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

WALMART CARE CLINIC 10-0511 (NPI 1114332665) is a healthcare organization registered as a nurse practitioner in Sumter, South Carolina and active in the NPI registry since June 2014. The organization lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1114332665
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1283 BROAD STSumter, SC 29150-1973
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550
Phone(803) 905-5528
Fax(803) 905-5530
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDirector Of Healthcare Contracting · (479) 204-8550
Enumeration DateJune 24, 2014
Last NPPES UpdateFebruary 19, 2015
✔ NPI 1114332665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1283 BROAD ST, Sumter, SC 29150
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Other Names 1

Other NameWalmart Care Clinic 10-0511

Other Identifiers 2

OtherD953SC · Medicare Ptan
MedicaidGP6498SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 42D2080768

Walmart Care Clinic 10-0511 · Sumter, SC
Expired · Jul 13, 2026
CLIA Number42D2080768
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 13, 2026
Laboratory DirectorLynn Scarbrough
Laboratory Phone(479) 204-8862
Laboratory LocationWalmart Care Clinic 10-05111283 Broad Street, Sumter, SC 29150
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

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 · Sumter, SC
⋮

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)20495219
Medicare Participant SinceJuly 1, 2014
Supplier Location1283 Broad St Walmart Pharmcy 10-0511Sumter, SC 29150
Phone(803) 905-5510
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 10

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

MINNIE SMITH-SCOTT
Technician/Technologist (Optician)
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5525
STEVE CHRISTMAS RPH
Pharmacist
1283 BROAD ST, PHARMACY
SUMTER, SC 29150
Sumter County (803) 905-5510
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5510
SHAWN ANTHONY HUTCHINSON
Technician/Technologist (Optician)
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5525
WAL-MART STORES EAST, LP
Eyewear Supplier
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5500
DOCTORS EYE CENTER, PA
Optometrist
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-8063
SARA WANNER LDO
Technician/Technologist (Optician)
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5525
CHAD COBB
Pharmacist
1283 BROAD ST
SUMTER, SC 29150
Sumter County (803) 905-5510

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 1114332665. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is also known as Walmart Care Clinic 10-0511.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1283 Broad St, Sumter, SC 29150. The listed phone number is (803) 905-5528.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on February 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.