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WAL-MART PHARMACY 10-1293
NPI 1114944436
Pharmacy - Community/Retail Pharmacy in Augusta, GA

Active since July 16, 2006CLIA 11D2119402 · Waiver
3209 DEANS BRIDGE RD, AUGUSTA, GA 30906(706) 796-7754 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 28, 2017, Dec 21, 2016 (3 updates tracked since 2016).

About Wal-mart Pharmacy 10-1293 NPPES

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

WAL-MART PHARMACY 10-1293 (NPI 1114944436) is a healthcare organization registered as a community/retail pharmacy in Augusta, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1114944436
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAL-MART STORES EAST LP
Location Address3209 DEANS BRIDGE RDAugusta, GA 30906-4201
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(706) 796-7754
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Healthcare Contracting · (479) 277-2500
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1114944436 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 · PHRE007048
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
3209 DEANS BRIDGE RD, Augusta, GA 30906
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Other Names 1

Doing Business AsWal-mart Pharmacy 10-1293

Other Identifiers 2

Medicaid00392169AGA
Other2017077Pk

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

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 11D2119402

Walmart Pharmacy 10-1293 · Augusta, GA
Active · expires Sep 26, 2026
CLIA Number11D2119402
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorCuong T. Tu
Laboratory Phone(706) 796-7754
Laboratory LocationWalmart Pharmacy 10-12933209 Deans Bridge Road, Augusta, GA 30906
CLIA data matches this NPI record on: Address 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.
118 services117 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.
108 services107 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 services18 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Walmart Pharmacy 10-1293 carries, from the Medicare DMEPOS supplier directory.

Walmart Pharmacy 10-1293

DMEPOS supplier · Augusta, GAOperated by Wal-Mart Stores East, LP
⋮

Does not accept Medicare assignment

Walmart Pharmacy 10-1293 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)20500007
Medicare Participant SinceJuly 1, 2014
Supplier Location3209 Deans Bridge RdAugusta, GA 30906
Phone(706) 796-7754
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
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 7

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

CHIKELUE TAGBOO EZEKWUECHE
Pharmacist
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-7754
WAL-MART STORES EAST, LP
Eyewear Supplier
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 792-9323
KHALID ZIAD PHARM.D.
Pharmacist
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-7754
DR. GURINDER SINGH PARMAR O.D.
Optometrist
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-6600
PARMAR EYECARE & ASSOS. P.C.
Optometrist
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-6600
DR. CUONG TUNG TU PHARMD
Pharmacist
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-7754
MS. SONJA MARIE HARRIS LDO, NCLEC, ABOC
Technician/Technologist (Optician)
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Richmond County (706) 796-6600

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 1114944436. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-1293.

Where is Wal-Mart Stores East LP located?

Wal-Mart Stores East LP is located at 3209 Deans Bridge Rd, Augusta, GA 30906. The listed phone number is (706) 796-7754.

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 10-1293 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2119402) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 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.