WALMART
NPI 1154724540
Clinic/Center - Community Health in Lebanon, OR

Q: What is Walmart's NPI number?

The NPI number for Walmart is 1154724540. It was assigned to this organization in the NPPES registry on September 30, 2014.

Q: What is Walmart's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Q: When was this NPI record last updated?

The NPPES record for Walmart was last updated on September 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2014CLIA 38D2332355 · Waiver

3290 S SANTIAM HWY, LEBANON, OR 97355(541) 258-7440 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Walmart NPPES

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

WALMART (NPI 1154724540) is a healthcare organization registered as a community health in Lebanon, Oregon and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Raed Alzahrani, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1154724540

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameWALMART

Location Address3290 S SANTIAM HWYLebanon, OR 97355-3737

Mailing Address1995 Trade St SeSalem, OR 97301-8265

Phone(541) 258-7440

Organization SubpartYesParent: N/a

Authorized OfficialRaed AlzahraniPharmacy Manager · (503) 929-0199

Enumeration DateSeptember 30, 2014

✔ NPI 1154724540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

3290 S SANTIAM HWY, Lebanon, OR 97355

Open in Google Maps ↗

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 38D2332355

Walmart Pharmacy 10-1775 · Lebanon, OR

Active · expires Oct 16, 2027

CLIA Number38D2332355

Laboratory TypePharmacy

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorGlenn Alvon Dampion

Laboratory Phone(541) 258-7440

Laboratory LocationWalmart Pharmacy 10-17753290 S Santiam Hwy, Lebanon, OR 97355

CLIA data matches this NPI record on: Address Name Phone

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

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.

WALMART INC.

Eyewear Supplier