WAL-MART PHARMACY 10-2804
NPI 1154348290
Pharmacy - Community/Retail Pharmacy in Oklahoma City, OK

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

The NPI number for Wal-Mart Stores East LP is 1154348290. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Wal-Mart Pharmacy 10-2804.

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 July 16, 2006

1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118(405) 841-6516 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Feb 16, 2017, Dec 18, 2016 (3 updates tracked since 2016).

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About Wal-mart Pharmacy 10-2804 NPPES

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

WAL-MART PHARMACY 10-2804 (NPI 1154348290) is a healthcare organization registered as a community/retail pharmacy in Oklahoma City, Oklahoma and active in the NPI registry since July 2006. The organization lists Sarah Little, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1154348290

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWAL-MART STORES EAST LP

Location Address1801 BELLE ISLE BLVDOklahoma City, OK 73118-4221

Mailing Address702 Sw 8th StBentonville, AR 72716-0445

Phone(405) 841-6516

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 1154348290 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 OK · 14460

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

1801 BELLE ISLE BLVD, Oklahoma City, OK 73118

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Other Names 1

Doing Business AsWal-mart Pharmacy 10-2804

Other Identifiers 2

Medicaid100246660AOK

Other2076322Pk

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 37D2117403

Walmart Pharmacy 10-2804 · Oklahoma City, OK

Expired · Aug 15, 2026

CLIA Number37D2117403

Laboratory TypePharmacy

Certificate Effective DateAugust 16, 2024

Certificate Expiration DateAugust 15, 2026

Laboratory DirectorKhanh B. Huckleberry

Laboratory Phone(405) 841-6516

Laboratory LocationWalmart Pharmacy 10-28041801 Belle Isle Blvd, Oklahoma City, OK 73118

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 3

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.

98 services97 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.

90 services89 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.

13 services13 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.

DAVIE KAY LUBBERS PHARMD

Pharmacist